The constant cycle of acquisitions, affiliations and divestitures is continually reshaping the health care industry. However, the factors that prompted M&A deals in the past are not necessarily the same factors that drive today’s deals. This poses new challenges for governing boards as they work to apply the proper amount of oversight to M&A opportunities. To help us better understand the latest M&A trends in the health care industry, Michael Peregrine interviews Barry Sagraves of Juniper Advisory. Barry has more than 25 years’ experience in health care M&A transactions, working leading Catholic and nonprofit systems, as well as independent community and public hospitals.