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.

KeyBanc Capital Markets Inc., Member FINRA/SIPC (“KBCMI”), 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.

Securities products and services: Not FDIC Insured • No Bank Guarantee • May Lose Value

Banking products and services are offered by KeyBank N.A. All credit, loan, and leasing products are subject to collateral and/or credit approval terms, conditions, and availability and subject to change.

Recent Deals

July 2026

us fertility

$1.068 Billion

Senior Secured Credit Facilities

Joint Lead Arranger
Joint Bookrunner
Administrative Agent

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July 2026

Forgent Power Solutions, Inc.

$2.5 Billion

Follow-On Offering

Joint Bookrunner

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June 2026

California Resources Corporation

$550 Million

Senior Notes

Joint Bookrunner

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June 2026

nutrisense

acquired by

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Financial Advisor

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May 2026

vsp

$500 Million

5.4% Senior Notes Due 2033

$500 Million

5.65% Senior Notes Due 2036

Active Joint Bookrunner

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May 2026

seatgeek

$200 Million

Senior Secured Credit Facilities

Left Lead Arranger
Joint Bookrunner
Administrative Agent

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May 2026

Forgent Power Solutions, Inc.

$2.3 Billion

Follow-On Offering

Joint Bookrunner

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May 2026

elevate infrastructure

a portfolio company of

arclight capital

$173.4 Million

Senior Secured Credit Facilities

Joint Lead Arranger
Administrative Agent
Collateral Agent
Depository Bank

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May 2026

National Fuel Gas Company

$500 Million

Senior Notes due 2029

$500 Million

Senior Notes due 2031

$500 Million

Senior Notes due 2036

Co-Manager

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May 2026

spg

$24 Million

Term Loan, Delayed Draw Term Loan, Revolving Line of Credit, Equipment Finance Line

Sole Lender

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May 2026

pbf energy

$500 Million

Senior Notes

Co-Manager

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May 2026

flatiron search partners

Line of Credit

Sole Lender

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May 2026

harvest midstream

$1 Billion

Senior Notes

Joint Bookrunner

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May 2026

tokkion

acquired by

siris

Senior Secured Credit Facilities

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May 2026

delek

$800 Million

Senior Notes

Co-Manager

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May 2026

virtus

$200 Million

Senior Secured Credit Facilities

Joint Lead Arranger
Administrative Agent

virtus-real-estate-enhanced
April 2026

diversified energy company

$1.5 Billion

Senior Secured Credit Facility

Administrative Agent
Coordinating Lead Arranger
Sole Bookrunner
Joint Lead Arranger

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April 2026

the queen senior

The Queen Senior

Construction Loan

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April 2026

the meadow on seneca

The Meadow on Seneca

$14.8 Million

Construction Loan

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April 2026

yesway

$322 Million

Initial Public Offering

Joint Bookrunner

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April 2026

lakeview at westpark

Lakeview at Westpark

$54 Million

FHA (Fixed-Rate Loan)

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April 2026

redding rancheria

$80 Million

Senior Secured Credit Facilities

Structuring Agent
Sole Lender

redding-rancheria
April 2026

caturus

$600 Million

Senior Notes

Joint Bookrunner

caturus-energy
April 2026

moosilauke vision

$30 Million

Term Loan & Revolving Line of Credit

Hedge Provider
Treasury Services

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March 2026

bcdsk

affiliated with

highmark

Financial Advisor

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March 2026

wallkill living center

Wallkill Living Center

Equity Bridge Loan and LIHTC Equity

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March 2026

palm villas in red bluff

Palm Villas in Red Bluff

$32.7 Million

Construction Loan, Permanent Loan, and KCBM Swap Contract

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March 2026

forgent

$1 Billion

Follow-On Offering

Joint Bookrunner

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March 2026

modbox storage - piedmont

ModBox Storage - Piedmont

$7.1 Million

CMBS Fixed-Rate Loan

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March 2026

andesa

acquired by

terminus

Exclusive Buy-Side Advisor

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March 2026

dme express

acquired by

palladium equity partners

Sell-Side Advisor

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March 2026

tigergenco

$146 Million

Senior Secured Credit Facilities

Coordinating Lead Arranger
Administrative Agent

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