athenahealth Group, Inc.

KeyBank Real Estate Capital and Blueprint Healthcare Real Estate provided $17.25 million in acquisition financing for Bethel Retirement Community, a 198-unit independent living and assisted living community in Modesto, California. The Sponsor, Alta-Northstar Senior Living, selected a five-year term with an earnout at first mortgage pricing with a national Life Company.

KeyBank Real Estate Capital has arranged $185 million in new Freddie Mac loans for Brookdale Senior Living Inc. (NYSE: BKD). Acting proactively, KeyBank and Brookdale refinanced pending 2027 debt maturities of Brookdale into new fixed-rate financing at an attractive rate of 5.38%. The new Freddie Mac debt is secured by seven seniors housing communities located on the West Coast. “Brookdale continues to address its debt maturities proactively, and this refinancing extends a portion of our 2027 maturities by six years to 2033 at economically similar terms,” said Dawn Kussow, Brookdale’s Chief Financial Officer. “This refinancing demonstrates the continued confidence our lending partners have in Brookdale’s business, communities, and long-term strategy. We extend our gratitude to Freddie Mac and KeyBank for their continued support and partnership.”

KeyBank Real Estate Capital and Blueprint Healthcare Real Estate provided $11 million in acquisition financing for The Villages of Windcrest, an 81-unit assisted living and memory care facility in Fredericksburg, Texas. The Sponsor, Senior Living Transformation Company (SLTC), selected a five-year term with an earnout at first mortgage pricing with a national Life Company.

On July 8, 2026, KeyBanc Capital Markets (KBCM) successfully closed on the syndication of a $250 million Revolving Credit Facility and $400 million Term Loan B, in addition to the offering of $450 million of Senior Secured Notes (together, the Credit Facilities) for American Greetings Corporation (American Greetings or the Company), a portfolio company of Elliott Management (Elliott) and Clayton, Dubilier & Rice (CD&R). Proceeds from the Credit Facilities will be used to refinance the Company’s existing Term Loan B, repay outstanding Revolving Credit Facility borrowings and pay transaction fees and expenses. KBCM acted as Joint Lead Arranger and Joint Bookrunner on the transaction.

About American Greetings
Founded in 1906 and headquartered in Cleveland, Ohio, American Greetings is a leader in the large and enduring Celebrations marketplace, which includes greeting cards, digital celebrations, e-gift cards, party goods, gift packaging, and physical gifts, such as balloons, candles, and plush toys, among other products.

About Elliott Management 
Elliott was founded in 1977, is one of the oldest firms of its kind under continuous management and manages multi-strategy funds with approximately $79.8 billion of assets under management as of December 31, 2025. A key element of Elliott’s investment approach is its focus on the creation – not just identification – of value. Since 2005, Elliott has made numerous investments in the consumer and consumer services sectors with a focus on industry-leading companies across a range of growth profiles and stages of maturities.

About Clayton, Dubilier & Rice
Founded in 1978, Clayton, Dubilier & Rice employs a distinctive approach to private equity investing, bringing together professionals and operating executives to pursue a strategy predicated on building stronger, more profitable businesses. Since inception, CD&R has managed the investment of more than $45 billion in over 110 companies. CD&R has a disciplined and clearly defined investment strategy with a particular focus on market-leading multi-location services, manufacturing, and distribution businesses. 

KeyBanc Capital Markets Inc. successfully closed ~$1.07 billion of syndicated senior secured credit facilities for US Fertility, a portfolio company of Amulet Capital Partners and L Catterton Partners. The financing included a $120 million Revolving Credit Facility, a ~$902 million Term Loan B, and a $46 million Delayed Draw Term Loan. Proceeds repriced the company’s existing credit facilities, lowering borrowing costs by 50 bps. KBCM served as Joint Lead Arranger, Joint Bookrunner, and Administrative Agent based on Cain Brothers’ expertise in the women’s health space, our long-standing relationship with the sponsors and best-in-class leveraged finance platform.

US Fertility is the largest fertility group in the U.S. offering a broad range of assistive reproductive technology services and ancillary life sciences offerings. Since 2021, the company has grown from ~85 physicians across 59 locations to the leading IVF platform in the nation, with over 200 physicians across 118 treatment locations and 32 embryology labs.

Founded in 2015, Amulet Capital Partners is a middle-market private equity firm focused exclusively on making investments in the broader healthcare industry. With $2.7 billion in AUM, they are currently investing out of their third fund. Amulet partners with strong businesses across high-conviction, high-growth subsectors within the broader life sciences outsourcing, healthcare provider, and payor and payor services ecosystems.

Founded in 1989, L Catterton is the largest consumer-focused private equity firm in the world, with over $38 billion AUM across nine fund strategies in 18 offices globally. They have extensive experience in consumer healthcare and multi-site service platforms. L Catterton has an operationally focused value creation approach, augmented by a deep operating team with highly differentiated capabilities.

KeyBanc Capital Markets and Cain Brothers, a division of KeyBanc Capital Markets, closed the syndication of a $1.038 billion Add-on Term Loan B and the offering of $500 million of Senior Secured Notes for athenahealth Group, a portfolio company of Hellman & Friedman and Bain Capital. Proceeds were used to refinance existing debt. KeyBanc acted as Joint Lead Arranger and Joint Bookrunner.

athenahealth provides cloud-based enterprise software solutions for medical groups and health systems. The company’s software-as-a-service is bundled with high-impact technology-enabled services primarily offered to physicians, as well as health insurers and life sciences. The core offerings include electronic healthcare record, revenue cycle management and other complementary solutions.

Hellman & Friedman is a preeminent global private equity firm with a distinctive investment approach focused on large-scale equity investments in high-quality growth businesses and targets equity investments ranging from $350 million to over $2 billion.

Bain Capital is one of the world’s largest private, multi-asset alternative investment firms and targets equity investments ranging from $150 million to $1 billion.

On July 1, 2026, KeyBanc Capital Markets served as Joint Bookrunner on Forgent Power Solutions, Inc.’s (Forgent) $2.5 billion Follow-On Offering of 50,197,500 shares, including overallotment.

Forgent is a provider of engineered protection and control equipment used in data centers, the power grid, and energy-intensive industrial facilities. Major product categories of electrical distribution equipment that Forgent sells include electrical houses, substation enclosures, generator connection cabinets, power skids, automatic transfer switches, dry type transformers, remote power panels, switchboards, and switchgear.

Cain Brothers, a division of KeyBanc Capital Markets, served as exclusive financial advisor to Smile America, a portfolio company of Beach Point Capital Management, in its sale to Kaltroco. 

Cain Brothers was engaged based on its experience in dental, specifically the pediatric dental sector, and long-standing relationship with the financial sponsor. Cain Brothers’ broad sector coverage enabled the Company to access a wide array of buyers and financing sources to facilitate the transaction.

Smile America is the leading provider of school-based dental care services, with a mission to provide access to oral healthcare to underserved populations. Smile America currently provides preventative care and minimally invasive dental procedures to 370,000+ patients in 8,000+ schools across 20 states.

Beach Point is a global alternative investment manager focused on opportunities across the credit spectrum. The firm’s integrated platform spans high-yield bonds, senior loans, CLO origination, securitized credit, direct lending, real estate credit, as well as hybrid and flexible capital solutions. Founded in 2009, Beach Point is employee-owned and manages over $20 billion in assets.

Kaltroco is a private investment company with headquarters in Jersey, Channel Islands and investment professionals in Nashville, Zurich, and Cape Town. Kaltroco partners with founders and management teams to pursue ambitious growth objectives. As a family-backed investment company with no outside investors and no restrictions on structure or hold period, Kaltroco has the flexibility to invest on the timeline that best fits its portfolio companies' needs and its partner management teams' objectives. Since its founding, Kaltroco has invested in over 30 companies globally, with a focus on the healthcare services, business services, and consumer industries.

On June 16, 2026, KeyBanc Capital Markets served as Joint Bookrunner on a $550 million Senior Notes offering for California Resources Corporation. Proceeds will be used to refinance existing indebtedness and for general corporate purposes.

Cain Brothers, a division of KeyBanc Capital Markets, served as exclusive financial advisor to Nutrisense, a portfolio company of 1315 Capital, on its sale to Dexcom (NASDAQ: DXCM).

Cain Brothers was engaged based on its experience in the medical device and health tech sectors. The acquisition represents a significant strategic move for hardware-focused Dexcom to accelerate their push into the large, Type 2 diabetic and metabolic health markets. By leveraging Nutrisense’s tech-enabled, direct-to-consumer distribution and coaching layer, Dexcom intends to increase sensor penetration, improve retention and monetize glucose data. The transaction continues Cain Brothers’ track record of representing private equity-backed companies and momentum in cross-sector M&A. 

Nutrisense is a digital metabolic health platform that combines continuous glucose monitoring (“CGM”), a mobile app and registered dietitian coaching to help users better understand how food, sleep and lifestyle affect their blood sugar. The company primarily serves health-motivated and pre-diabetic individuals through a subscription model, translating real-time glucose data into personalized nutrition and behavior guidance aimed at improving metabolic health and weight management.

Dexcom is a leading glucose sensing and continuous glucose monitoring company focused on helping people take control of their health through innovative biosensing technology. For more than 25 years, Dexcom’s technology has helped transform how people manage diabetes and track glucose, providing real-time insights that support more informed decisions and greater confidence in daily health management.

Founded in 2014, 1315 Capital is a healthcare-focused investment firm with over $1 billion of assets under management. The firm invests in commercial-stage companies across healthcare services, pharma/medtech products, pharma/medtech outsourcing, and health & wellness, partnering with management teams to scale businesses that positively impact patients, physicians and the broader healthcare system.

KeyBanc Capital Markets and Cain Brothers, a division of KeyBanc Capital Markets, acted as Active Joint Bookrunner for VSP Optical Group’s $1 billion public bond issuance.

After completing their inaugural bond offering in November 2025, VSP announced a second offering in May. Over a one-day marketing period and utilizing a pre-recorded presentation, the company garnered over $7.6 billion of orders and priced $500 million of seven-year and $500 million of 10-year Senior Unsecured Notes with no new issue concession. Proceeds were used to refinance existing indebtedness and fund general corporate purposes.

KeyBanc Capital Markets serves as Left Lead Arranger and Administrative Agent on VSP’s existing credit facilities and KBCM and Bank of America acted as joint leads on both the 2025 and 2026 bond offerings.

VSP is a doctor-governed, not-for-profit entity that creates value for members and opportunities for its network doctors. The company’s network has serviced over 91 million members and 1,200 retail locations. VSP’s three-pillar strategy focuses on growing its core competencies, which encompasses insurance, network, and supply chain capabilities, providing access to high-quality vision care and eyewear.  

On May 29, 2026, KeyBanc Capital Markets (KBCM) successfully closed the syndication of $200 million of Senior Secured Credit Facilities (the Credit Facilities) consisting of a $150 million Revolving Credit Facility and a $50 million Term Loan for SeatGeek, Inc. (SeatGeek or the Company). Proceeds from the Credit Facilities will be used to refinance the Company’s existing debt, fund working capital and support general corporate purposes. 

KBCM acted as Left Lead Arranger, Joint Bookrunner, and Administrative Agent on the transaction due to its long-running strategic dialogue with the Company and best-in-class Technology Investment Banking and Debt Capital Markets capabilities. The transaction represents SeatGeek’s debut in the syndicated loan market. SeatGeek is backed by leading growth investors, including Accel, TCV, and Wellington.

“We’re pleased to partner with KBCM on this facility,” says Teddy Collins, Executive Vice President, Finance at SeatGeek. “The financing enhances our flexibility as we continue investing in our platform, supporting our partners and executing on our long-term growth strategy. It also reflects the confidence our banking partners have in the strength of our business and future opportunities.”

SeatGeek is a technology platform powering the business of live events for fans, teams, leagues and venues. The Company’s integrated platform combines enterprise ticketing technology, venue operations software and a consumer marketplace to help partners grow revenue, deepen fan relationships and deliver better live experiences. Trusted by leading teams, leagues and venues across North America, SeatGeek continues to expand its role across the live event ecosystem through innovative technology and fan-first experiences.

On May 28, 2026, KeyBanc Capital Markets served as Joint Bookrunner on Forgent Power Solutions, Inc.’s (Forgent) $2.3 billion Follow-On Offering of 48,622,000 shares, including overallotment.

Forgent is a provider of engineered protection and control equipment used in data centers, the power grid, and energy-intensive industrial facilities. Major product categories of electrical distribution equipment that Forgent sells include electrical houses, substation enclosures, generator connection cabinets, power skids, automatic transfer switches, dry type transformers, remote power panels, switchboards, and switchgear.

On May 27, 2026, KeyBanc Capital Markets Inc. (KBCM) successfully closed $173.4 million of Senior Secured Credit Facilities for Prospect Power, a 150 MW/600 MWh utility-scale battery energy storage system in Rockingham County, Virginia. Prospect Power is owned by Elevate Infrastructure, a portfolio company of ArcLight Capital Partners. The facilities include a $154 million term loan and $19.4 million in letters of credit. Proceeds will be used to support the operating period of the project. KBCM acted as Joint Lead Arranger, Administrative Agent, Collateral Agent and Depository Bank.

This represents the first transaction between Elevate and KBCM.

About Elevate Infrastructure
Formed in 2022 and headquartered in Boston, Massachusetts, Elevate Infrastructure is a utility-scale battery storage developer and Independent Power Producer (IPP) with development and operating capabilities across North America. Backed by ArcLight Capital Partners, a leading infrastructure investor, the Company has a 630 MWh operating base and over 12 GWh of projects under construction or development, with operational assets spanning nine states and five markets.

About ArcLight Capital Partners
ArcLight Capital Partners is a Boston-headquartered energy infrastructure asset manager with over $80 billion invested across 65+ GW of capacity and 47,000 miles of electric and gas transmission infrastructure. Founded in 2001, ArcLight has invested approximately $5 billion in renewable infrastructure platforms across wind, solar, geothermal and hydroelectric facilities. ArcLight has extensive experience owning and operating renewable infrastructure projects across both major platform investments and individual project investments.

On May 27, 2026, KeyBanc Capital Markets served as Co-Manager on National Fuel Gas Company’s offering of $500 million of Senior Notes due 2029, $500 million of Senior Notes due 2031 and $500 million of Senior Notes due 2036. Proceeds will be used to fund the acquisition of CNP Ohio, CenterPoint Energy Resources Corp.’s Ohio gas utility subsidiary, and for general corporate purposes.

KeyBank closed a $24 million credit facility for Shared Practices Group, LLC (SPG), a fast-growing dental services organization with a nationwide footprint. Acting as Sole Lender, KeyBank structured a comprehensive financing solution designed to refinance existing debt, optimize SPG’s capital structure, and provide the liquidity needed to support ongoing growth and operational expansion.

The financing package included a Term Loan, Delayed Draw Term Loan, Revolving Line of Credit, and Equipment Finance Line, providing SPG with the flexibility to fund working capital needs, invest in strategic initiatives, and pursue future opportunities. In addition to financing, KeyBank will provide a full suite of banking services, including treasury management, merchant services, deposits, and payments advisory.

SPG sought a financing advisor that could help reduce its cost of capital while providing a scalable solution aligned with its long-term growth strategy. Drawing on its deep healthcare and dental industry expertise, as well as a long-standing relationship with the company’s advisor, BT Capital Group, led by Bagus Tjahjono Pan, KeyBank delivered a customized structure featuring enhanced flexibility, improved terms, and integrated equipment financing. The solution supports SPG’s investments in advanced implant and diagnostic technologies while positioning the company for continued expansion.

Founded in 2021 by six dentists who combined their practices to create a larger platform, SPG has rapidly expanded its presence across the U.S. The company operates multi-location denture, implant, and general dentistry practices, while also providing practice management and coaching services to dental professionals. Headquartered in Scottsdale, Arizona, SPG serves patients through locations spanning 25 states.

Through this transaction, SPG gains access to the financial resources and strategic banking capabilities needed to continue scaling its platform and expanding access to high-quality dental care nationwide.

On May 26, 2026, KeyBanc Capital Markets served as Co-Manager on a $500 million Senior Notes offering for PBF Energy Inc. Proceeds will be used to refinance existing indebtedness and for general corporate purposes.

KeyBank successfully closed a line of credit for Flatiron Search Partners, LLC. Proceeds from the facility will be used to support working capital as they grow their business. Key acted as Sole Lender on the transaction. Key also provided a full cash management relationship and fraud protection, along with simplifying their online banking processes.

Flatiron Search Partners is a consumer-focused executive search and talent advisory firm that partners with private equity-backed and growth-stage companies to build leadership and functional teams across all stages of growth. The firm operates as a long-term partner to its clients, supporting talent strategy across executive and critical non-executive roles.

On May 7, 2026, KeyBanc Capital Markets served as Joint Bookrunner on a $1 billion Senior Notes offering for Harvest Midstream I, L.P. Proceeds will be used to refinance existing indebtedness and for general corporate purposes.

On May 6, 2026, KeyBanc Capital Markets (KBCM) successfully closed the syndication of an undisclosed amount in Senior Secured Credit Facilities (the Credit Facilities) to support Siris Capital Group’s (Siris) acquisition of Takkion Group LLC (TAKKION or the Company). Proceeds from the Credit Facilities were used to finance the acquisition of Siris and pay transaction-related fees and expenses.

TAKKION is a leading independent service provider delivering integrated solutions for renewable energy projects across North America. The company supports the full asset lifecycle—from logistics and transportation to construction, operations, maintenance, remanufacturing, and electrical services. With a nationwide network of skilled professionals and specialized equipment, TAKKION brings the scale and technical expertise to execute complex projects safely, efficiently, and to the highest quality standards. Guided by its core values of Safety, Integrity, and Transparency, TAKKION helps customers maximize performance and long-term asset value.

Siris is a leading private equity firm focused on control investments in North American middle-market services companies that support critical technology infrastructure underpinned by secular tailwinds, such as artificial intelligence, cybersecurity and digital transformation. Based in West Palm Beach, Florida, the firm has invested approximately $9 billion since its inception as of December 31, 2025.

On May 6, 2026, KeyBanc Capital Markets acted as Exclusive Financial Advisor and Sole Placement Agent for the issuance of $324.8 million privately placed Senior Secured Notes (the Notes) for Axium Campus Housing LLC, 100% owned by AxInfra US LP and its affiliates (together, Axium). The net proceeds from the sale of the Notes will be used to refinance existing debt of the UMass Project Company, the Vanderbilt Project Company, and the Iowa Project Company (together, the Portfolio).

The Portfolio consists of the following projects:

UMass Project (Slate Undergraduate) is a 253-unit housing facility entailing undergraduate apartment-style housing (623 beds) and related infrastructure, including a dining facility, a wellness space, and parking located on-campus at the University of Massachusetts, Amherst. 

UMass Project (Artisan Graduate) is a 140-unit housing facility entailing graduate student apartment-style housing (201 beds) and related infrastructure located on-campus at the University of Massachusetts, Amherst.

Vanderbilt Project is a 529-unit graduate and professional student housing facility (616 beds) located on-campus at Vanderbilt University.

Iowa Project is a 522-unit student housing facility (864 beds) located on-campus at the University of Iowa.

Axium is an independent portfolio management firm with a diverse portfolio of over 260 assets. The firm focuses on middle market investments, acquisitions, and development of assets, with a strong emphasis on sustainable infrastructure assets in North America.

On May 4, 2026, KeyBanc Capital Markets served as Co-Manager on an $800 million Senior Notes offering for Delek Logistics Partners, LP. Proceeds will be used to refinance existing indebtedness and for general corporate purposes.

On May 1, 2026, KeyBank closed on a new $200 million credit facility (the Facility) for the Virtus Real Estate Enhanced Core Fund (VREEC). KeyBank serves as the Joint Lead Arranger and Administrative Agent for the Facility. 

VREEC is an open-end, core real estate fund focused on acquiring high-quality, stabilized properties, including workforce housing, healthcare, student housing, self-storage, and education sectors. VREEC is sponsored and managed by Austin, Texas-based Virtus Real Estate Capital.

On April 30, 2026, KeyBanc Capital Markets served as Administrative Agent, Coordinating Lead Arranger, Sole Bookrunner and Joint Lead Arranger on a $1.5 billion Senior Secured Revolving Credit Facility for Diversified Energy Company. Proceeds will be used to fund the acquisition of Haynesville Shale assets from Sheridan Production Company III, LLC and for general corporate purposes.

KeyBank Community Development Lending & Investment provided capital for the new construction of The Queen Senior apartments, a 49-unit senior affordable housing project in Philadelphia, Pennsylvania. 49 units will serve senior citizens earning no more than 20%-50% the AMI (Area Median Income). Supportive services will be offered to residents and will include health and wellness programs, lifeline services, social services, and counseling. We want to thank The Queen Senior LLC for their sponsorship and shared mission to build much-needed affordable housing in Pennsylvania.

The financing includes a construction loan arranged by Seaver Rickert.

KeyBank Community Development Lending & Investment provided capital for the new construction of The Medow on Seneca, a 70-unit affordable housing project in Ithaca, New York. 70 units will serve families and individuals earning no more than 30%-80% the AMI (Area Median Income). The project includes 35 supportive housing units consisting of 25 units supported by the Empire State Supportive Housing Initiative (ESSHI) and 10 units supported through the New York State Office of Mental Health Supportive Housing Single Room Occupancy (OMH SP-SRO) program. Supportive services will be provided by Rehabilitation Support Services, Inc. (RSS) and will include case management, crisis response, living skill support, behavioral-health coordination employment readiness, and safety planning for domestic violence survivors. We want to thank Rehabilitation Support Services for their sponsorship and shared mission to build much-needed affordable housing in New York.

The financing includes a $14.8 million construction loan arranged by Seaver Rickert.

On April 21, 2026, KeyBanc Capital Markets served as Joint Bookrunner on Yesway, Inc.’s (Yesway or the Company) $322 million Initial Public Offering of 16,100,000 shares, including overallotment.

Established in 2015 and headquartered in Fort Worth, Texas, Yesway is an award-winning convenience store operator with 449 stores across nine states in the Midwest and Southwest. The Company is renowned for its iconic food service offerings, diverse grocery selections, and private-label products, including the famous Allsup's deep-fried burrito. Through strategic acquisitions, the 91 new stores it has developed and opened in the past several years, and its steadfast commitment to customer satisfaction and community engagement, Yesway continues to cement its position as one of the leading convenience retailers in the U.S.

The transaction includes a $54 million ($181,324/unit) non-recourse, first mortgage loan secured by a 298-unit, garden-style apartment known as Lakeview at Westpark, located in Richmond, Texas. Lakeview at Westpark consists of six three-split-story buildings and a one-story community building (5,820 square feet) for a total of seven (7) buildings. The property was built in 2021 and is situated on 11.02 acres of land. The proposed loan will be used to refinance the existing debt of the property. The loan is structured with a 35-year term and amortizes on a 35-year schedule.

On April 14, 2026, KeyBanc Capital Markets and Key Government Finance successfully closed $80 million of Senior Secured Credit Facilities for Redding Rancheria. The proceeds, in conjunction with equity contributions, will support the construction and development of the new Redding Rancheria Health Village.

This transaction represents Key’s second financing for Redding Rancheria and the second financing for the Native American Financial Services team secured solely by healthcare revenues. Key was selected to serve as Sole Lender and Structuring Agent due to its extensive experience financing Native American construction projects and deep-rooted relationship with Redding Rancheria.

Redding Rancheria
Redding Rancheria is a federally recognized Tribe with Pit River, Wintu and Yana people and an established leader in the constructive development of its people, the larger Indian community and the Redding Region. Redding prides itself on tribal culture, history and identity by investing in its youth and adults to create a future with the strength of the ancestral lineage. Redding’s government and reservation is in the southwest area of Redding, California, where it operates various governmental services and provides healthcare to over 12,000 Native and non-Native citizens.

Redding Rancheria Health Village
In 1991, Redding operated a small facility to provide medical, behavioral and dental health services to Native Americans, which expanded into the 12,000-square-foot Churn Creek Road Facility. In 2012, Redding acquired their 33,000-square-foot Liberty Street Facility and expanded the operation of each program, and in 2022, constructed the 18,000-square-foot Trinity Health Center. In 2024, Redding opened its Center for Advanced Care, broadening access to specialty-driven services for its expanding patient base.

The Redding Rancheria Health System has evolved and expanded over the course of three decades to service both Native and non-Native populations, with a focus on the large and underserved Medicare and Medi-Cal population. The new visionary Health Village, opening in early 2027, will span 185,000 square feet and provide comprehensive, culturally centered health care, with a focus on holistic wellness. Eleven primary care providers and seven medical specialists will serve over 22,000 patients and enhance health and wellness care for the region.

On April 13, 2026, KeyBanc Capital Markets served as Joint Bookrunner on a $600 million Senior Notes offering for Caturus Energy, LLC. Proceeds will be used to partially fund the acquisition of Galvan Ranch assets from SM Energy Company and for general corporate purposes.

KeyBank successfully closed a $25 million Term Loan and $5 million Revolving Line of Credit for Moosilauke Visions, Inc. and its subsidiaries. Proceeds from the facilities were used for the acquisition of five behavioral health programs across the Western and Southeastern U.S. and to support ongoing working capital needs of the borrowing group. Key acted as Sole Lender on the transaction. Full primacy, including operating deposits and core payments, was also provided. 

Moosilauke Visions, Inc. (MVI) is a Maine‑based 501(c)(3) nonprofit that serves as a strategic parent and shared‑services platform for a portfolio of mission‑driven organizations across human services, behavioral health, education, wellness, and related community‑based sectors, providing centralized financial, operational, and governance support while enabling independent operations and sustainable growth.

Cain Brothers, a division of KeyBanc Capital Markets, acted as Exclusive Financial Advisor to Blue Cross and Blue Shield of Kansas City on its affiliation with Highmark, Inc.

Blue KC engaged Cain Brothers to identify a partner to help achieve efficiencies, add new capabilities and drive more affordable health care. Blue KC will maintain its local leadership, brand and commitment to accessible, affordable health care, while gaining access to Highmark’s scale, diversified businesses and leading technology capabilities. Cain Brothers is the leading advisor to Blue Cross and Blue Shield plans and this represents another significant affiliation within the sector.

Serving members since 1938, Blue Cross and Blue Shield of Kansas City is the largest not-for-profit health insurer in Missouri and the only not-for-profit commercial health insurer in Kansas City. Blue KC provides coverage to more than one million residents in the greater Kansas City area, with a mission to provide affordable access to healthcare and to improve the health of its members.

An independent licensee, Highmark, together with its affiliates, is the fifth-largest Blue Cross Blue Shield-affiliated organization in the country, with more than seven million members in Pennsylvania, Delaware, West Virginia and western and northeastern New York. Its diversified businesses serve group customer and individual needs across the U.S.