Three Pillars’ $108,295,000 Series 2024 Financing: Active Adult IL Expansion Project

Overview

Deal Type Debt Capital Markets
Size $108.295 Million
Fixed-Rate
Client & Transactional Partners Three Pillars Senior Living Communities
Our Role Sole Manager

Summary

Cain Brothers, a division of KeyBanc Capital Markets, Inc. served as Sole Manager in the public issuance of the $108,295,000 Wisconsin Health and Educational Facilities Authority Revenue Bonds, Series 2024A&B, on behalf of Three Pillars Senior Living Communities, rated “BBB” by Fitch Ratings. The proceeds of the Bonds, together with ~$13 million of equity from Three Pillars, will finance the third phase of its strategic master plan, which is the construction of a new campus with 110 Active Adult units and common areas.

The transaction consisted of ~$46 million of entrance fee bonds split into two series and 35-year fixed-rate bonds sized at ~$63 million. Cain Brothers worked closely with management and the development team to create a financing structure that balanced the goals and objectives of Three Pillars with unique security features attractive to investors, such as funding interest for 39 months. The Bonds received strong investor demand, generating $697 million of total orders from 22 unique accounts (6.4x oversubscribed).

Three Pillars is a nonprofit organization affiliated with the Masonic Grand Lodge of Wisconsin operating a Type-C CCRC in Dousman, WI. Three Pillars has operated for nearly 120 years and provides independent living, assisted living, memory care, short-term rehab, skilled nursing, and a community-based wellness center.

In 2017, leadership formulated a strategic master plan to address its residents’ changing needs and the shifting landscape for staffing and healthcare reimbursement. In 2021, Three Pillars financed the initial phase of the strategic master plan, downsizing its skilled nursing facility by converting its semi-private rooms to private rooms and adding higher-acuity assisted living.

The 2024 Expansion Project represented Three Pillars’ strategic response to challenges faced by single-site life-plan communities industrywide: seniors moving into LPCs older, more frail, and sedentary; persistent labor shortages of clinical labor; inadequate reimbursement from governmental payors, and reliance on non-operating income. The financing enabled Three Pillars to transform its business model to ensure long-term financial sustainability. Equally important, it solidified its value proposition to the local marketplace with a product that appeals to the seniors of today and the future.

Cain Brothers

 

Thomas Culhane

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 by its licensed securities representatives. Banking products and services are offered by KeyBank N.A.

Recent Deals

March 2026

supercare health

Joint Lead Arranger
Joint Bookrunner
Administrative Agent

supercare-health-excellere
March 2026

supercare health

acquired by

excellere

Sell-Side Advisor

supercare-health-excellere-partners
March 2026

cnl

merged with

sonida

$3.3 Billion

Combined Value

Exclusive Sell-Side Advisor

cnl-healthcare-properties-inc
March 2026

xcel energy

$1.2 Billion

First Mortgage Bonds

Active Joint Bookrunner

xcel-energy-northern-states-power
March 2026

visualize

acquired

bmm

$70 Million

Senior Secured Credit Facilities

Joint Lead Arranger
Joint Bookrunner

bmm-testlabs
February 2026

matador resources company

$750 Million

Senior Notes

Active Joint Bookrunner

matador-resources-company
February 2026

hlsg

acquired by

sterling group

Sell-Side Advisor

healthcare-linen-services-group
February 2026

cmh

affiliated with

prime hc foundation

Sell-Side Advisor

cmh-and-phf
February 2026

olympic steel

merged with

ryerson

Lead Financial Advisor
Fairness Opinion Provider

olympic-steel
February 2026

soboba band of luiseño indians

$219 Million

Senior Secured Credit Facilities

Left Lead Arranger
Joint Bookrunner
Administrative Agent

soboba-band-of-luiseno-indians
February 2026

thermo fisher scientific

$1 Billion

Senior Notes due 2031

$750 Million

Senior Notes due 2033

$1.3 Billion

Senior Notes due 2036

$750 Million

Senior Notes due 2046

Co-Manager

thermo-fisher-scientific
February 2026

my town health partners

acquired

mdb

Buy-Side Advisor

mytown-health-partners
February 2026

southern ute indian tribekava equity partners

acquired

the berg group

$30 Million

Senior Secured Credit Facilities

Sole Lender

the-berg-group
January 2026

SM Energy Company

$5 Billion

Senior Secured Credit Facility

Joint Lead Arranger
Co-Documentation Agent

sm-energy
January 2026

nrad

acquired by

premier

Sell-Side Advisor

national-radiology-solutions-premier-radiology
January 2026

plymouth reit

acquired by

makarora

Sell-Side Advisor

plymouth-industrial-reit
January 2026

equipmentshare

$859.3 Million

Initial Public Offering

Joint Bookrunner

equipmentshare-inc
January 2026

upenn

Sansom Place West

greystar

jlc

$69 Million

Senior Secured Credit Facility

Lead Arranger
Hedge Provider

university-of-pennsylvania-student-housing
January 2026

murphy oil corporation

$500 Million

Senior Notes

Co-Manager

murphy-oil-corporation
January 2026

Apex

$1.05 Billion

Senior Secured Credit Facilities

apex-clean-energy-holdings
January 2026

twisp family haven

Twisp Family Haven

$10.9 Million

Construction Loan

twisp-family-haven
January 2026

tenor

acquired

commonwealth health

Buy-Side Advisor

tenor-health-to-acquire-commonwealth-health
December 2025

fhn

affiliated with

mercy health

Sell-Side Advisor

fhn-memorial-hospital-mercyhealth
December 2025

Cedar Commons II

Cedar Commons II

$15 Million

Construction Loan

cedar-commons-ii
December 2025

Casa Del Pueblo Senior Apartments

Casa Del Pueblo Senior Apartments

$10.1 Million

Construction Loan

casa-del-pueblo-senior-apartments
December 2025

Hub 27

Hub 27

$32.3 Million

Construction Loan, LIHTC Equity, and Bond Underwriting

hub-27
December 2025

Benning Road Metro Apartments

Benning Road Metro Apartments

$55.3 Million

Construction Loan and Permanent Loan

benning-road-metro-apartments
December 2025

sunrise atkinson

Atkinson Stacks & Sunrise Metro

$43.4 Million

Construction Loan and Permanent Loan

atkinson-stacks-sunrise
December 2025

US Fertility

acquired

genetics IVF

and was recapitalized by

I Catterton

and

amulet

$1.07 Billion

Senior Secured Credit Facilities

Joint Lead Arranger
Joint Bookrunner
Administrative Agent

us-fertility-completes-debt-refinancing
December 2025

River Road Apartments

West Branch & River Road Apartments

$16.7 Million

Equity Bridge Loan and Permanent Loan

west-branch-and-river-road-apartments
December 2025

Waterville Senior Lofts

Waterville Senior Lofts

$13.8 Million

Construction Loan

waterville-senior-lofts
December 2025

gauge capital

acquired

reliable

Buy-Side Advisor

gauge-capital-reliable-medical

Connect With Us

Find an Expert