Market Insights

Despite all the market turmoil, not much has changed year over year for private equity in 2025. Healthcare PE firms are still waiting for the right signals and conditions to monetize long-held portfolio investments and deploy their massive reserves of pent-up investment capital.

Tariffs can change the cost structure of a business almost overnight. For middle market companies — large enough to rely on global supply chains yet lean enough that every margin point matters — sudden duties on critical inputs can squeeze cash flow, unsettle supplier relationships, and cloud long-term planning.

At the 11th Annual Cain Brothers Private Company Healthcare Conference in New York, Matt Margulies, Managing Director at Cain Brothers, moderated a panel about recovering M&A markets and unique private equity investment perspectives for 2025.

In recent years, the pursuit of energy independence has become a crucial issue for tribal nations across the United States. As these communities strive to reclaim control over their resources and economic futures, the development of sustainable and resilient energy systems has emerged as a key strategy.

Insights from KeyBank’s latest Middle Market Sentiment survey of over 700 business leaders highlight middle market companies’ strong ability to adapt and innovate. While inflation, labor, and other operational concerns remain, leaders report easing pressures in these key areas. As organizations strategically balance proactive investments with cautious risk management, several significant trends emerge.

Los Angeles has become known as the epicenter for the affordable housing crisis, as evidenced by its high rate of homelessness. The region is an example of the challenges facing affordable housing construction and preservation, but it can also become a model for change. Matthew Haas, Senior Relationship Manager at KeyBank, moderates a panel of regional experts discussing the complex issues impacting affordable housing in their areas of influence.

The national housing crisis is intensifying. Depending on the resource, experts estimate the nation is short between 3 million and 7 million housing units to meet current demand. Most real estate experts call for increased new housing construction to solve the housing problem.

The need for affordable housing in the U.S. has never been greater, but supply is not keeping up with demand. High costs of construction and insurance, as well as elevated interest rates, make it difficult to get affordable housing development deals completed in the current environment. As a result, developers and finance leaders are looking for innovative strategies to close budget gaps and get deals done.

Considering selling your business? Preparation and timing are key factors in achieving maximum valuation and helping minimize surprises.

Multifamily investors are facing a challenging capital environment. From interest rate volatility to negative price discovery to a loan maturity wall, there is a long list of obstacles for multifamily investors to overcome. For that reason, it is more important than ever to work closely with a mortgage banking expert to find creative capital solutions for multifamily properties.

The challenges and opportunities of the self-insured employer market were the focus of a panel at the 11th Annual Cain Brothers Private Company Healthcare Conference in New York. Dave Johnson, Founder and CEO at 4sight Health, moderated the discussion with Don Trigg, CEO at apree health, and Glen Tullman, CEO at Transcarent.

In the post-pandemic era, healthcare organizations find themselves facing a new set of challenges, including skilled worker burnout, high turnover, and increasing expenses. Many are turning to innovations such as artificial intelligence (AI) and automation, not only to overcome these obstacles but to help streamline operations and simplify internal processes.