Juniper Advisory
Juniper Advisory is a privately-held Chicago-based investment bank providing M&A and partnership advisory services exclusively to U.S. nonprofit hospitals and health systems, with 20+ senior specialists and 250+ completed assignments over 35 years.
- Company typePrivate
- Founded1990
- HeadquartersChicago, United States
- Headcount11–50
- GTM typeB2B
- OfferingServices
What Juniper Advisory does
Juniper Advisory is a Chicago-headquartered, privately-held investment banking firm that provides merger and acquisition advisory services exclusively to nonprofit hospitals and health systems across the United States. Founded around 1990 by Jamie Burgdorfer and David Gordon after building Nuveen's hospital M&A practice, the firm has executed 250+ assignments over 35+ years and is generally regarded as the largest and most experienced dedicated team in nonprofit hospital transaction advisory. Its service portfolio covers sell-side and buy-side M&A, independence assessments, joint ventures, partnerships and affiliations (including joint operating agreements and management services agreements), non-acute healthcare advisory, and board education. Revenue is generated through professional services fees negotiated transaction-by-transaction, with no publicly disclosed pricing.
The firm operates a senior-heavy, inverted-pyramid engagement model in which partners and senior advisors work directly with hospital CEOs, CFOs, boards of trustees, and governance committees rather than delegating to junior analyst layers. The team of 20+ experts includes partners with backgrounds at Morgan Stanley, Bank of America Merrill Lynch, Citigroup, Navigant, and Ernst & Young; a Managing Director who spent 25 years at Mayo Clinic; and senior advisors who are former hospital system CEOs and general counsels. Complementary go-to-market assets include a published book ('A Healthcare Leader's Guide to Successful Mergers & Acquisitions,' Volume I and II), an audiobook, a podcast series, a quarterly newsletter, webinars with healthcare law firms, and conference speaking at events such as the American Health Law Association Health Care Transactions Conference.
Juniper's distribution is exclusively direct enterprise engagement, driven by industry reputation, referral relationships with healthcare law firms (McDermott Will & Emery, McGuireWoods, Epstein Becker Green), and thought leadership. Notable recent transactions include Marshfield Clinic Health System's combination with Sanford Health (2025, creating a $10B+ system), Blount Memorial Hospital's ~$365 million lease with Prisma Health (2024), Lawrence General Hospital's acquisition of Holy Family Hospitals from the Steward Health Care bankruptcy (2024), and Freeman Health System's acquisition of Northwest Health into Arkansas (2026). The firm is selectively engaged, with approximately 50% of clients choosing to remain independent after assessment, reinforcing its positioning as a conflict-free, mission-aligned advisor to nonprofit healthcare boards.
Juniper Advisory firmographics
Firmographics- Name
- Juniper Advisory
- Legal name
- Juniper Advisory
- Website
- https://juniperadvisory.com
- Company type
- Private
- Founded year
- 1990
- Operating status
- Operating
- Headcount range
- 11–50 employees
- Short description
- Juniper Advisory is a privately-held Chicago-based investment bank providing M&A and partnership advisory services exclusively to U.S. nonprofit hospitals and health systems, with 20+ senior specialists and 250+ completed assignments over 35 years.
- Ownership category
- akta.pro rank
Juniper Advisory industry classification
Industry- Product category
- Healthcare M&A Advisory
- NAICS
- Management Consulting Services (54161)
- SIC
- Services-Management Consulting Services (8742)
- akta.pro primary industry
- Corporate Development & Strategic Partnerships Advisory (JVs, Alliances, Carve-outs) (BPAHAOAG)
- akta.pro secondary industries
- Corporate Finance Advisory (Strategic Finance, Capital Structure & Recaps) (FSAEAGAE), Corporate Strategy Advisory (BPAHADAA)
Keywords
Where Juniper Advisory is headquartered
LocationHeadquarters
- HQ city
- Chicago
- HQ country
- United States
- HQ region
- North America
Offices6 records
Markets served
Juniper Advisory business model
Business model- GTM type
- B2B
- Offering type
- Services
- Cost components
- Personnel, Operations, Marketing or Sales, Technology or R&D, Others
Revenue model
- M&A Advisory Services: Juniper Advisory generates revenue through providing merger and acquisition advisory services to nonprofit hospital systems. This includes strategic financial advice, transaction execution, market-clearing processes, partner identification, negotiation support, and regulatory guidance for hospital partnerships including mergers, acquisitions, joint ventures, and affiliations.
Go-to-market motion1 record
Distribution channels1 record
Marketing channels7 records
Juniper Advisory product offering
Product offeringCore offering
Juniper Advisory provides specialized investment banking and strategic advisory services exclusively to nonprofit hospitals and health systems considering partnerships, mergers, acquisitions, joint ventures, and affiliations. The firm advises boards and executives on transaction strategy, partner identification, negotiation, market-clearing processes, and execution, supplementing advisory work with board education and thought leadership content.
Product overview
Juniper Advisory offers a unified advisory service portfolio focused on nonprofit hospital system partnerships and mergers and acquisitions. The core offerings include Hospital M&A Advisory, Independence Assessments, Partnerships & Affiliations, Joint Ventures, Non-Acute Services Advisory, and Board Education. The firm also provides educational content products including the book 'A Healthcare Leader's Guide to Successful Mergers & Acquisitions' (Volume I and II), an audiobook version, and a podcast series. These educational resources complement the advisory services by providing thought leadership and industry insights.
Differentiator
Problem solved
Functional benefit
Products and services
- Hospital M&A Advisory Advisory services for hospital merger and acquisition transactions, including strategic advice, transaction structuring, and negotiation support for nonprofit hospitals.
- Independence Assessments Strategic assessments to help hospitals and boards evaluate whether to remain independent or pursue partnership alternatives.
- Partnerships & Affiliations Advisory on non-ownership-change transactions including Joint Operating Agreements, Management Agreements, clinical affiliations, and purchasing groups.
- Joint Ventures Advisory on joint venture structures including Buyer Joint Ventures, Seller Joint Ventures, and Buyer/Seller Joint Ventures for health system partnerships.
- Non-Acute Services Advisory Advisory on non-acute healthcare sectors including managed care plans, behavioral health, physician groups, senior living, and ambulatory surgery centers.
- Board Education Educational services for health system board members on M&A market trends, consolidation dynamics, regulatory influences, and governance responsibilities.
- A Healthcare Leader's Guide to Successful Mergers & Acquisitions (Book) A comprehensive guide book covering hospital partnership evaluations, transaction structures, legal considerations, and communications strategies for healthcare leaders.
- Audiobook - A Healthcare Leader's Guide to Successful Mergers & Acquisitions Audio version of the healthcare M&A guide narrated by Wes Malik, available on Amazon, Audible, and iTunes.
- Podcast - A Healthcare Leader's Guide to Successful Mergers and Acquisitions Audio series covering topics including board-level governance, capital structure, negotiation tactics, legal considerations, and stakeholder communications for healthcare M&A.
Quantifiable outcome
- 250+ completed assignments in hospital partnership advisory
- +3 more outcomes
Companies that use Juniper Advisory
Customer profileNamed customers17 records
Segments4 records
Ideal customer profiles3 records
Juniper Advisory technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Juniper Advisory partnerships and signals
Strategic signalPartnerships
Six partnerships are on record, tiered core and supporting.
- The Governance InstitutecoreLong-standing collaboration with The Governance Institute for healthcare leadership education. Juniper team members regularly contribute publications and thought leadership to The Governance Institute, including articles on hospital M&A trends, governance best practices, regulatory considerations, and strategic planning for healthcare boards.
- McDermott Will & EmerycoreCollaborative relationship with McDermott Will & Emery on healthcare M&A transactions. Firms work together advising hospital clients on legal and regulatory matters alongside transaction advisory services. Joint publications and white papers on hospital partnership considerations.
- McGuireWoodssupportingWorking relationship with McGuireWoods on healthcare transactions. Joint podcast appearances and publications on hospital M&A topics including private equity involvement and market trends.
- Epstein Becker GreensupportingCollaborative webinar series on Medicaid cuts through budget reconciliation with Epstein Becker Green attorneys, addressing regulatory and reimbursement implications for hospital transactions.
- Huron Consulting GroupsupportingProfessional network connection with Huron Consulting Group. Casey Webb, Partner at Juniper, previously was a founding member of Huron's investment banking unit, maintaining industry relationships.
- Kaufman HallsupportingProfessional network connection with Kaufman Hall. Nina Leutz, Associate at Juniper, previously worked in the Strategy and Business Transformation group at Kaufman Hall.
Scale indicators6 records
Recent moves6 records
Expansion highlights6 records
Juniper Advisory competitors and assessment
Company assessmentDirect peers
- Kaufman Hall: Kaufman Hall is one of the most established healthcare-specialized advisory firms, providing M&A, capital advisory, and strategic consulting to nonprofit health systems. Directly competes with Juniper on sell-side hospital M&A and strategic alternatives mandates, and shares relationships with the same CFO/CEO buyer universe.
- SOLIC Capital: SOLIC Capital is a healthcare-focused investment bank providing M&A, restructuring, and capital advisory services, with particular depth in distressed and special-situations healthcare transactions. Overlaps with Juniper on nonprofit hospital M&A and Chapter 11 / restructuring mandates such as Juniper's Bellevue Hospital engagement.
- Cain Brothers (KeyBanc Capital Markets): Cain Brothers is a premier healthcare investment banking franchise now part of KeyBanc Capital Markets, advising nonprofit and for-profit healthcare organizations on M&A, capital raising, and strategic transactions. Overlaps directly with Juniper on nonprofit hospital M&A, particularly for larger or more complex transactions where capital markets capabilities are required.
- Edgemont Partners: Edgemont Partners is a healthcare-focused M&A advisory firm advising middle-market and nonprofit healthcare organizations. Competes with Juniper on sell-side hospital and health system mandates, particularly for community and specialty hospital clients.
- Ponder & Co. Ponder & Co. is a healthcare-focused investment bank providing M&A, capital advisory, and strategic services to nonprofit and for-profit healthcare organizations. Strong direct overlap with Juniper on community hospital and nonprofit health system transactions, particularly in the Midwest.
- Hammond Hanlon Camp LLC (H2C): H2C is a healthcare-focused strategic advisory firm offering M&A, capital markets, and operational consulting to hospitals, health systems, and other healthcare providers. Directly competes with Juniper on nonprofit health system M&A mandates and shares the same buyer-side relationships.
Broad incumbents
- Huron Consulting Group: Huron is a large professional services firm with a healthcare consulting practice that includes M&A and strategic advisory services to health systems. Juniper partner Casey Webb was a founding member of Huron's investment banking unit, evidencing the close overlap; Huron's broader scale and service breadth makes it an incumbent competitor for larger mandates.
- Deloitte (Healthcare M&A Advisory): Deloitte's healthcare practice provides M&A advisory, transaction services, and consulting to large health systems. Represents a bulge-bracket incumbent that competes with Juniper on the largest healthcare M&A mandates where global scale, diligence, and integration capabilities are required.
Others
- McDermott Will & Emery: McDermott Will & Emery is a leading healthcare-focused law firm with deep expertise in hospital M&A, joint ventures, and regulatory matters. While not a direct M&A advisor, it is a long-standing collaborative partner of Juniper on healthcare transactions and represents the legal counterpart to Juniper's advisory role.
Emerging players
- Stroudwater Capital Partners: Stroudwater is a healthcare-focused advisory firm providing strategic, operational, and transaction advisory to rural and community hospitals. Direct overlap with Juniper's rural hospital mandate base; smaller and more operationally focused than Juniper.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat4 records
Key risks6 records
Key highlights7 records
Customer concentration
Juniper Advisory social profiles
Digital presenceJuniper Advisory financial estimates
Financial estimateRevenue estimate
Valuation estimate
Juniper Advisory leadership team
Management profileNumber of profiles
Profiles21 records
Juniper Advisory funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Juniper Advisory M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Juniper Advisory
What does Juniper Advisory do?
Juniper Advisory provides specialized investment banking and strategic advisory services exclusively to nonprofit hospitals and health systems considering partnerships, mergers, acquisitions, joint ventures, and affiliations. The firm advises boards and executives on transaction strategy, partner identification, negotiation, market-clearing processes, and execution, supplementing advisory work with board education and thought leadership content.
Is Juniper Advisory a public or private company?
Juniper Advisory is a private company. It is classified as founder individual operated bootstrapped and is currently operating.
When was Juniper Advisory founded?
Juniper Advisory was founded in 1990. It employs 11 to 50 people.
Where is Juniper Advisory based?
Juniper Advisory is headquartered in Chicago, United States, in the North America region.
How does Juniper Advisory make money?
One revenue line is on record: M&A Advisory Services.
Who are Juniper Advisory's main competitors?
Direct peers on record are Kaufman Hall, SOLIC Capital, Cain Brothers (KeyBanc Capital Markets), Edgemont Partners, Ponder & Co. and Hammond Hanlon Camp LLC (H2C). Broad incumbents are Huron Consulting Group and Deloitte (Healthcare M&A Advisory). McDermott Will & Emery is listed as an others. Stroudwater Capital Partners is listed as an emerging player.
Does Juniper Advisory have an API?
No public API is recorded for Juniper Advisory.
What industry is Juniper Advisory in?
Juniper Advisory's product category is Healthcare M&A Advisory. Its primary akta.pro industry code is BPAHAOAG, Corporate Development & Strategic Partnerships Advisory (JVs, Alliances, Carve-outs), with a secondary code of FSAEAGAE, Corporate Finance Advisory (Strategic Finance, Capital Structure & Recaps). Its NAICS code is 54161 and its SIC code is 8742.