Lifespan

Overview

Deal Type Mergers & Acquisitions
Client & Transactional Partners Lifespan
Saint Anne's Hospital, Morton Hospital
Steward Health Care
Our Role Financial Advisor

Summary

Cain Brothers served as financial advisor to Steward Health Care during its Chapter 11 bankruptcy process to identify buyers and manage the sale of up to 17 hospitals in seven states. Cain Brothers was retained based on its extensive knowledge of the hospital & health system sector, real estate expertise, and demonstrable ability to execute complex transactions.  

Founded by the Dominican Sisters of the Presentation in 1906, Saint Anne’s Hospital in Fall River, Massachusetts, is a full-service, acute care Catholic hospital with 211 beds and satellites in Fall River, Attleboro, Swansea, and Dartmouth, Massachusetts. The hospital provides inpatient and outpatient clinical services to patients from surrounding Massachusetts and Rhode Island communities. Morton Hospital in Taunton is a 144-bed acute care community hospital serving patients and families in southeastern Massachusetts.

Cain Brothers targeted buyers interested in owning and operating hospitals in the southern Massachusetts and Rhode Island region. The successful acquisition of the Saint Anne’s and Morton hospitals by Lifespan preserves community jobs and continues providing of care to current and future patients in the region.

Steward Health Care was one of the largest private hospital systems in the U.S., operating more than 30 hospitals in eight states supported by multi-specialty provider groups with more than 1,700 providers and operations in 11 states. Steward had previously entered real estate sale/leaseback transactions with Medical Properties Trust for many of its hospitals.

Lifespan is Rhode Island’s largest health system and employer with five hospitals and about 16,000 employees. In October 2024, Lifespan was rebranded to Brown University Health to expand on its 55-year affiliation with the Ivy League.

“Cain Brothers, a division of KeyBanc Capital Markets” is a trade name of KeyBanc Capital Markets Inc., Member FINRA/SIPC. 

KeyBanc Capital Markets Inc. and KeyBank National Association (“KeyBank N.A.”) are separate, but affiliated companies. 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.

Recent Deals

September 2026

creedence energy

a portfolio company of

towerarch capital

acquired by

monomoy capital

Sell-Side Advisor

creedence-energy-services
September 2026

trinity health system

a member of

commonspirit

acquired by

upmc

Sell-Side Advisor

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September 2026

innovage

$92.5 Million

Follow-on Offering

Joint Bookrunner

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September 2026

glp

partnered with

asc

Exclusive Financial Advisor

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September 2026

icario

acquired by

vitality

Sell-Side Advisor

icario-acquired-by-vitality
September 2026

Spirit Lake Tribe

$60 Million

Senior Secured Tax-Exempt Credit Facility (Secured by Health Services Revenues)

Sole Lender
Structuring Agent

spirit-lake-tribe
September 2026

adena

acquired

fmc

Buy-Side Advisor

adena-health-system-fmc
August 2026

mastec

$650 Million

Senior Notes

Senior Co-Manager

mastec-inc
August 2026

myers industries

divested

myers tire supply

to

lion equity partners

Exclusive Sell-Side Advisor

myers-tire-supply
August 2026

uhs

$600 Million

5.5% Senior Secured Notes due 2031

$500 Million

6% Senior Secured Notes due 2036

Senior Co-Manager

universal-health-services
August 2026

delta mechanical contracors

Line of Credit, Term Loan, Delayed Draw Term Loan

Sole Lender

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August 2026

broadway imperial

Broadway & Imperial

$92.9 Million

Construction Loan, Permanent Loan, & Bond Underwriting

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August 2026

gridstor - white tank

$220 Million

Senior Secured Credit Facilities

Coordinating Lead Arranger

gridstor-white-tank
August 2026

warhorse

$40 Million

Incremental Senior Secured Credit Facility

$340 Million

Aggregate Senior Secured Credit Facilities

Joint Lead Arranger
Joint Bookrunner
Syndication Agent

warhorse-gaming-llc
August 2026

ridge care

Portfolio of 6 seniors housing properties

acquired by

aventas

Exclusive Sell-Side Advisor

ridge-care-senior-living
August 2026

ameren illinois

$400 Million

First Mortgage Bonds

Active Joint Bookrunner

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August 2026

safeway

a portfolio company of

cs industrial

acquired by

point 41

Exclusive Sell-Side Advisor

safe-way-garage-doors
August 2026

cb20 inc

Working Capital Line of Credit & Non-Revolving Term Loan

Sole Lender

cb20-inc
August 2026

bookmark

acquired the Michigan assets of

villagemd

Buy-Side Advisor

bookmark-medical-village-medical
July 2026

avantus

$1.05 Billion

Corporate Credit Facility

Lead Arranger

avantus
July 2026

bdi

received a strategic growth investment from

kelso

Exclusive Financial Advisor

bearing-distributors-inc
July 2026

via

VIA

$16.5 Million

Freddie Mac (Floating-Rate Loan)

via
July 2026

pointe grand byron

Pointe Grand Byron

$44.9 Million

Freddie Mac (Floating-Rate Loan)

pointe-grand-byron
July 2026

mont 44

Mont 44

$16.6 Million

Freddie Mac (Floating-Rate Loan)

mont-44
July 2026

lithia springs estates

Lithia Springs Estates

$15 Million

Fannie Mae (Fixed-Rate Loan)

lithia-springs-estates
July 2026

evolution

and

true sports

combined and acquired by

o2

Advisor

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July 2026

strive medical

acquired by

cardinal health

Sell-Side Advisor

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July 2026

bethel retirement community

Bethel Retirement Community

$17.25 Million

Life Company

bethel-retirement-community
July 2026

brookdale portfolio

Brookdale Portfolio

$185 Million

Freddie Mac (Fixed-Rate Loan)

brookdale-portfolio
July 2026

villages of windcrest

The Villages of Windcrest

$11 Million

Life Company

the-villages-of-windcrest
July 2026

american greetings

a portfolio company of 

elliot

american greetings

$1.1 Billion

Revolving Credit Facility, Senior Secured Term Loan B, Senior Secured Notes

Joint Lead Arranger
Joint Bookrunner

american-greetings
July 2026

stop

Stop & Stor - Bay Ridge

$18 Million

CMBS Fixed-Rate Loan

stop-stor-bay-ridge

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