Kingston HealthCare Company, LLC

Overview

Deal Type Mergers & Acquisitions
Client & Transactional Partners Kingston HealthCare Company, LLC
American Healthcare REIT, Inc.
Trilogy Health Services, LLC
Our Role Exclusive Sell-Side Advisor

Summary

On December 16, 2025, KeyBanc Capital Markets (KBCM) successfully advised Kingston HealthCare Company, LLC (Kingston) on its sale to American Healthcare REIT, Inc. (AHR), along with its operating partner Trilogy Health Services, LLC (Trilogy). This strategic acquisition deepens Trilogy’s presence across Indiana and Ohio, strengthening its mission to make lives better for residents, their families, and their communities through exceptional care and service. KBCM served as Exclusive Sell-Side Advisor to Kingston.

Kingston HealthCare Company, based in Toledo, Ohio, operates 14 senior living communities and employs over 1,800 team members. Kingston has provided high-quality senior care for nearly four decades, earning a reputation for excellence, innovation, and a deep commitment to their employees and residents.

American Healthcare REIT (NYSE: AHR) is a self-managed real estate investment trust that acquires, owns, and operates a diversified portfolio of clinical healthcare real estate properties, focusing primarily on senior housing, skilled nursing facilities, outpatient medical buildings, and other healthcare-related facilities.

Trilogy Health Services, founded in 1997, is based in Louisville, Kentucky and operates more than 130 senior living communities throughout Kentucky, Indiana, Ohio, Michigan, and Wisconsin. Recognized for its outstanding clinical quality and innovative solutions, Trilogy serves more than 12,000 seniors and employs about 18,000 team members.

KeyBanc Capital Markets is a trade name under which the corporate and investment banking products and services of KeyCorp and its subsidiaries, KeyBanc Capital Markets Inc., Member FINRA/SIPC (“KBCMI”), and KeyBank National Association (“KeyBank N.A.”), are marketed. Securities products and services are offered by KeyBanc Capital Markets Inc. and its licensed securities representatives. Banking products and services are offered by KeyBank N.A.

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