Our Transactions

Cain Brothers, a division of KeyBanc Capital Markets, served as exclusive financial advisor to ChristianaCare in its acquisition of Crozer Health’s outpatient centers in southeastern Pennsylvania.

On May 27th, 2025, ChristianaCare was the successful bidder in a highly competitive bankruptcy auction to acquire five ambulatory surgery and outpatient centers in Delaware County, Pennsylvania that were part of the Crozer Health regional health system. Crozer is subsidiary of Prospect Medical Holdings, who filed for bankruptcy protection earlier this year. The transaction complements ChristianaCare’s plans for expansion in the service area. 

ChristianaCare is a non-profit regional healthcare system that provides healthcare services to all of Delaware and portions of the bordering counties in Pennsylvania, Maryland and New Jersey. The system includes an extensive network of primary care and outpatient services, hospitals and specialized centers of excellence. ChristianaCare reported consolidated revenues of $3.1 billion for the last twelve months ending June 30, 2024.

Crozer Health was one of the largest private hospital systems in Pennsylvania, operating multiple hospitals, primary care clinics and outpatient centers across the state. Crozer Health was a subsidiary of Prospect Medical Holdings, a California-based national network of hospitals and affiliated medical groups, who filed for Chapter 11 Bankruptcy in January 2025.

Due to its deep experience with strategic and tactical M&A advisory, Cain Brothers was engaged to serve as financial advisor to assist with financial due diligence, valuation, and bankruptcy auction strategy and tactics. A Purchase Agreement was signed on May 27th, with closing subject to court approval and regulatory review in mid-2025.

Cain Brothers, a division of KeyBanc Capital Markets, served as exclusive financial advisor to the County of Santa Clara in the acquisition of Regional Medical Center from HCA Healthcare (NYSE: HCA).

On April 1, 2025, Santa Clara County completed the acquisition of Regional Medical Center from HCA Healthcare, integrating RMC into the County of Santa Clara Health System. The acquisition strengthens its commitment to the health and well-being of all communities in Santa Clara County.

Regional Medical Center is a premier healthcare facility known for providing comprehensive medical services, including emergency care, specialized treatments, and advanced surgical procedures. With this acquisition, RMC will expand important clinical programs and services, including trauma, stroke, obstetrics, and advanced cardiac services to patients living in East San Jose.

Santa Clara operates one of California’s most robust public healthcare systems, dedicated to serving the diverse needs of its communities. With a longstanding commitment to accessible healthcare for all residents, the county oversees the Santa Clara Health System, which includes hospitals, clinics, and specialty care services.

HCA Healthcare, a Fortune 500 company, is one of the nation’s leading healthcare providers, operating a vast network of hospitals and medical facilities across the United States.

Together with the KeyBank Beach Point Direct Lending Program, KeyBanc Capital Markets and Cain Brothers, a division of KeyBanc Capital Markets, successfully closed on Senior Secured Credit Facilities supporting SK Capital’s acquisition of Spectrum Vascular.

SK Capital’s investment in Spectrum, a provider of vascular access and medication management products, will enable the Company to accelerate growth initiatives and expand its presence. Through its relationship with the Company and deep understanding of the end market, Cain Brothers was able to provide value-added support to SK Capital in their evaluation and execution of the transaction. The Credit Facilities consisted of a Revolving Credit Facility, a Unitranche Term Loan, and a Delayed Draw Term Loan.  

Spectrum Vascular is an innovative medical device company focused on vascular access and medication management. The Company’s mission is to improve the lives of patients worldwide by providing caregivers with high quality, innovative products with exceptional customer service. Innovation has been a core strategic pillar throughout Spectrum Vascular's history and many of its products have been designed to deliver antimicrobial protection and thrombus reduction. Spectrum Vascular was formed through the acquisition of the vascular access businesses of Cook Medical and AngioDynamics. For more information, please visit www.spectrumvascular.com.

SK Capital is a private investment firm with a disciplined focus on the specialty materials, ingredients, and life sciences sectors. The Firm seeks to build resilient, sustainable, and growing businesses that create substantial long-term value. SK Capital aims to utilize its industry, operating, and investment experience to identify opportunities to transform businesses into higher performing organizations with improved strategic positioning, growth, and profitability, as well as lower operating risk.

KeyBanc Capital Markets and Cain Brothers, a division of KeyBanc Capital Markets, successfully priced $1.0 billion of Convertible Senior Notes Due 2030 for Integer Holdings Corporation. 

The offering was upsized from $750 million to $875 million, prior to the exercise of the overallotment option. The Notes will mature in 2030 and bear interest at a rate of 1.875% per annum, with a conversion premium of 27.50%. Both the coupon and the conversion premium priced at the midpoint of the initial talk ranges. Proceeds from the offering will be used to refinance a portion of the company’s outstanding 2028 Convertible Senior Notes, repay borrowings under its revolving credit facility, fund the cost of capped call transactions, and for general corporate purposes.

Integer is one of the largest medical device contract development and manufacturing organizations in the world, serving the cardiac rhythm management, neuromodulation, and cardio and vascular markets. As a strategic partner of choice to medical device companies and OEMs, Integer is committed to enhancing the lives of patients worldwide by providing innovative, high-quality products and solutions. Integer’s brands include Greatbatch Medical^® and Lake Region Medical^®.

KeyBanc Capital Markets and Cain Brothers, a division of KeyBanc Capital Markets, successfully closed the syndication of $625 million of Senior Secured Credit Facilities in support of ImageFirst Holdings, a portfolio company of Calera Capital.

The Credit Facilities consist of a $125 million Revolving Credit Facility, and a $500 million Term Loan B. Proceeds from the Credit Facilities will be used to refinance existing indebtedness and fund a distribution to shareholders.

ImageFirst is a leading provider of outsourced laundry and textile rental services with a focus on outpatient and specialty healthcare in the U.S. With 70+ locations across 33 states serving over 28,000 customer locations, the Company provides mission critical services to their customers who cannot care for patients without clean linens and other laundry products.

Founded in 1991, Calera Capital is a private investment firm based in San Francisco and Boston that has invested over $4 billion of equity into leading middle market companies. Calera has significant experience and a successful track record of investment in commercial services, healthcare services, and other businesses similar with ImageFirst.

KeyBanc Capital Markets and Cain Brothers successfully closed the syndication of $1.058 billion of Senior Secured Credit Facilities in support of Eversana, a portfolio company of JLL Partners and Water Street Healthcare Partners. 

The Credit Facilities consist of a $108 million Revolving Credit Facility and a $950 million First Lien Term Loan. Proceeds from the Credit Facilities will be used to refinance existing indebtedness and pay transaction-related expenses. 

Eversana is a Chicago-based provider of drug commercialization services for pharmaceutical and biotechnology customers with over 6,000 employees and 30 locations across the globe. Services include strategic advisory, market access, global pricing, HEOR, and agency with expertise in over 100 therapeutic areas. The Company serves a diverse customer base of over 650 organizations, including the top 25 pharmaceutical companies and top 10 biotechs in the world.

JLL Partners is a New York–based middle-market private equity firm specializing in healthcare, industrials, and business services. Since being founded in 1988, JLL Partners has raised $5.8 billion across eight funds, working to accelerate growth and elevate their portfolio companies through organic growth initiatives, operational enhancements, and strategic M&A. 

Founded in 2005, Water Street Healthcare Partners is a private equity firm focused exclusively on the healthcare industry. The Sponsor has ~$7.5 billion in AUM and is investing out of its fifth fund. Water Street is currently an investor in 21 healthcare companies across numerous healthcare subsectors.

Cain Brothers, a division of KeyBanc Capital Markets, served as exclusive financial advisor to EmblemHealth. 

EmblemHealth has sold its wholly owned subsidiary, ConnectiCare, to Molina Healthcare (NYSE: MOH). The transaction enables Molina to add an established government business with a recognized brand, a statewide provider network and a new state, while EmblemHealth will use proceeds to focus on existing business lines. Cain Brothers was engaged as exclusive financial advisor because of its long-standing relationship with EmblemHealth as well as deep domain expertise in managed care. 

ConnectiCare is a leading health plan in Connecticut and has been dedicated to making the state a healthier place to live and work since its founding in 1981. ConnectiCare has a range of products and services for businesses, municipalities, and individuals, as well as those who are Medicare-eligible, and is the leading provider of individual health insurance in the state.

EmblemHealth is one of the nation’s largest nonprofit health insurers, with more than 3 million members and an 80-year legacy of serving New York’s communities. The company offers a full range of commercial and government-sponsored health plans to employers, individuals, and families, as well as convenient community resources. As a market leader in value-based care, EmblemHealth partners with top providers and hospitals to deliver quality, affordable care.

Molina Healthcare, a FORTUNE 500 company, provides managed healthcare services under the Medicaid and Medicare programs and through the state insurance marketplaces.

Cain Brothers, a division of KeyBanc Capital Markets, served as exclusive financial advisor to Medsurant Health, a portfolio company of New Capital Partners, on its sale.

Cain Brothers was engaged as Medsurant Health’s exclusive financial advisor based on its knowledge and relationships in clinical outsourced services. Cain Brothers worked with New Capital Partners to design and execute a broad auction process to identify the optimal partner for Medsurant Health. The transaction continues Cain Brothers’ track record of representing sponsor-backed businesses and expertise within the clinical outsourced services sector.

Medsurant Health is a leading outsourced provider of comprehensive patient monitoring solutions for complex surgical cases, detecting and mitigating neurophysiological complications during brain, spine, and peripheral nerve surgeries. As the nation’s largest pure-play provider of intraoperative neuromonitoring (IONM) services, Medsurant is a trusted operating room partner to more than 350+ hospitals and 1,200+ surgeons, across 15+ states.

Founded in 2001, New Capital Partners is a middle-market private equity investment firm based in Birmingham, Alabama. New Capital is a thesis-driven firm of entrepreneurs and former operators, focused on investing in founder-owned, lower middle-market companies where it can partner with management to provide exceptional service to each portfolio company’s customers. Focus areas include healthcare technology & services, financial technology & services, and business technology and services.

KeyBank Beach Point Direct Lending Program and Cain Brothers, a division of KeyBanc Capital Markets, successfully closed Senior Secured Credit Facilities in support of Strive Medical LLC, a portfolio company of NMS Capital.

In January 2025, Cain Brothers, a division of KeyBanc Capital Markets successfully led the syndication of Senior Secured Credit Facilities for Strive Medical as Left Lead Arranger, Joint Bookrunner and Administrative Agent. The Credit Facilities consist of a Revolving Credit Facility, a Unitranche Term Loan and a Delayed Draw Term Loan. Proceeds from the Credit Facilities were used to refinance existing indebtedness, finance the acquisition of Charles Pharmacy & Surgical and provide capital for future acquisitions.

Headquartered in Irving, Texas, Strive provides urological, wound care, continuous glucose monitoring, and other disposable medical supplies to patients across the US. Since its founding, Strive’s focus is to provide patients with the highest quality customer service and best products to manage their chronic medical conditions. The acquisition of Charles Pharmacy & Surgical complements the Company’s existing product offering and adds insulin pumps and other supplies that further increase Strive’s footprint in the diabetes space.

Founded in 2010, NMS Capital is a New York based private investment firm focused on driving sustainable growth for middle market companies. NMS typically seeks to provide first-time institutional capital, with a focus on the healthcare and business services sectors. NMS currently has ~$1.5 billion in assets under management along with ~$550 million of founder capital retained in their businesses.

Central Maine Healthcare and Prime Healthcare Foundation have finalized their affiliation agreement, allowing the residents of central, western, and Midcoast Maine to continue to have access to the highest-quality, most advanced health care in the region. 

Cain Brothers was engaged by Central Maine Healthcare as its exclusive advisor based on its expertise in the hospital and health system sector and strong understanding of the New England market. Cain Brothers engaged with parties interested in continuing CMH’s mission and finalized an affiliation agreement with Prime Healthcare Foundation. Terms include continued local governance and management, ongoing community commitment, and significant capital investment, and are subject to regulatory approval.

Central Maine Healthcare is an integrated health system serving more than 400,000 residents and includes 600 physicians and advanced practice professionals in more than 40 locations, as well as Central Maine Medical Center in Lewiston, a 250-bed, not-for-profit, Level III Trauma Center that serves as the base for LifeFlight of Maine, the state’s only medical helicopter. CMH also operates the Bridgton and Rumford hospitals, two 25-bed critical-access hospitals serving the Lakes Region and River Valley communities, respectively.

CMH includes two long-term care communities, Bolster Heights, an 84-bed assisted living facility, and Rumford Community Home, an 85-bed, active-living community, as well as Maine’s first nursing and medical imaging programs, Maine College of Health Professions. 

Prime Healthcare is one of the nation’s leading health systems, serving more than 2.6 million patient visits annually. With nearly 45,000 employees and physicians, Prime operates 44 hospitals and more than 300 outpatient locations in 14 states. Fourteen of the company's hospitals are members of the Prime Healthcare Foundation, a 501(c)(3) not-for-profit public charity. Based in Ontario, Canada, Prime is nationally recognized for quality care and has been named a Top 10 and Top 15 Health System by Truven Health Analytics. Its hospitals have been named among the nation’s “100 Top Hospitals” 69 times and have received more Patient Safety Excellence Awards from Healthgrades than any other health system in the past eight years. 

Cain Brothers, a division of KeyBanc Capital Markets, served as exclusive financial advisor to Theoria Management in its new platform partnership with Amulet Capital Partners.

Theoria Management retained Cain Brothers based on its experience in primary and post-acute care, expertise in value-based care, and relationships with the relevant investors. Cain Brothers, along with the Company’s founder, designed and executed a targeted process to find the ideal partner to help the Company deliver on its long-term vision. This successful process continues Cain Brothers’ strong track record of representing founder-led businesses in partnering with private equity firms.

Theoria Management is a tech-enabled management service organization supporting a comprehensive medical group practice dedicated to serving patients across the care continuum with an emphasis on post-acute care and primary care. Theoria serves facilities across the United States with a multitude of services to improve the quality of care delivered, refine facility processes, and enhance critical clinical relationships. Theoria’s affiliated medical groups offer a broad scope of services including multispecialty physician services, telemedicine, chronic care management, and remote patient monitoring.

Amulet Capital Partners is a middle-market private equity investment firm based in Greenwich, Connecticut, and Walnut Creek, California, focused exclusively on the healthcare sector. Amulet seeks to achieve long-term capital appreciation through privately negotiated investments in healthcare companies, focusing on those segments it believes have the most attractive long-term fundamentals. Amulet currently manages approximately $2.7 billion in assets and is investing out of its third fund, which was oversubscribed and closed in July 2024 with approximately $1.2 billion in capital commitments.

KeyBanc Capital Markets and Cain Brothers, a division of KeyBanc Capital Markets, closed the syndication of $390 million of Senior Secured Credit Facilities in support of LifeStance Health (NASDAQ: LFST), which was taken public in 2021 by TPG and who retains a significant equity stake.

The financing consists of a $100 million Revolving Credit Facility and a $290 million Term Loan A. Proceeds will be used to refinance the Company’s existing private credit structure.

LifeStance is one of the nation’s largest providers of virtual and in-person outpatient mental healthcare for children, adolescents, and adults experiencing a variety of mental health conditions. The Company’s mental health services span across psychiatric evaluations and treatment, psychological and neuropsychological testing, and individual, family and group therapy. LifeStance and its supported practices employ 7,200+ psychiatrists, advanced practice nurses, psychologists, and therapists through more than 550 centers across 33 states.

TPG is a leading global alternative asset management firm, founded in San Francisco in 1992, with $229 billion of assets under management and investment and operational teams around the world. TPG invests across a broadly diversified set of strategies, including private equity, impact, credit, real estate, and market solutions, and its unique strategy is driven by collaboration, innovation, and inclusion. TPG teams combine deep product and sector experience with broad capabilities and expertise to develop differentiated insights and add value for its fund investors, portfolio companies, management teams, and communities.

Cain Brothers, a division of KeyBanc Capital Markets, served as exclusive financial advisor to Indiana University Health.

IU Health has sold its health plan to Elevance Health Inc. (NYSE: ELV), with transaction proceeds enabling IU Health to focus on its core health system and serve the health and wellness needs of the Indiana community. The sale strengthens Elevance’s presence in Indiana and improves access to high-quality care. This transaction also further enhances the robust relationship between IU Health and Elevance. The transaction closed on December 31, 2024.

Indiana University Health, headquartered in Indianapolis, is a leading network in the state of Indiana offering top-tier primary and specialty care. IU Health Plans is an established managed care plan known for its local brand, community involvement, high-touch customer service, and extensive product offerings. It offers Medicare Advantage plans in 36 counties to 19,000 members and fully insured commercial plans to 12,000 members.

Headquartered in Indianapolis, Elevance Health offers an extensive portfolio of health benefits through its various health plans, including Medicare and Medicaid plans. Leveraging their broad network of associates and a strategic focus on care provider enablement and digital solutions, Elevance Health continues to be recognized as a leader for its consumer-centered health system for more than 37 million members nationally.

Cain Brothers, a division of KeyBanc Capital Markets, served as exclusive financial advisor to AdventHealth in its pending acquisition of ShorePoint Health Port Charlotte and certain assets of ShorePoint Health Punta Gorda from affiliates of Community Health Systems, Inc. (NYSE: CYH).

AdventHealth signed a definitive agreement to purchase 254-bed ShorePoint Health — Port Charlotte and certain assets of ShorePoint Health — Punta Gorda from affiliates of Community Health Systems, Inc. for $265 million. Based north of Fort Myers, Florida, ShorePoint Health also includes related businesses, such as physician clinic operations and outpatient services. The transaction is expected to close in the first quarter of 2025, subject to regulatory approvals and closing conditions.

AdventHealth is a connected system of care for every stage of life and health. A shared vision, common values, focus on whole-person health, and commitment to making communities healthier unify the system's hospital campuses in diverse regions throughout nine states. AdventHealth owns or manages 50 hospitals in nine states with reported consolidated revenues of $18.9 billion for the past 12 months ending September 30, 2024.

Community Health Systems, Inc. owns or leases 69 affiliated hospitals in 15 states, with more than 11,000 beds, and operates more than 1,000 sites of care, including physician practices, urgent care centers, freestanding emergency departments, occupational medicine clinics, imaging centers, cancer centers, and ambulatory surgery centers. CHS reported consolidated revenues of $12.6 billion for the past twelve months ending September 30, 2024.

Cain Brothers, a division of KeyBanc Capital Markets, served as exclusive financial advisor to EmblemHealth in the sale of its subsidiary, WellSpark, to Vitality.

Cain Brothers was engaged by EmblemHealth to sell its wholly owned subsidiary, WellSpark, because of its long-standing relationship and employer health expertise. On November 19, Vitality announced the acquisition of WellSpark and its intention to integrate WellSpark’s coaching solutions, offering Vitality’s employer and health plan clients access to a range of new services and additional tools to support their health and well-being. 

WellSpark is a health coaching company and digital platform that provides wellness solutions to employers as part of their benefits offerings. Since its beginning in 2013, the company has helped its members live healthier and more fulfilling lives by providing human-to-human support, intervening early for chronic condition management, and breaking biopsychosocial barriers that prevent its members from making lasting change.

EmblemHealth is one of the nation’s largest nonprofit health insurers, with more than 3 million members and an 80-year legacy of serving New York’s communities. The company offers a range of commercial and government-sponsored health plans to employers, individuals, and families, as well as convenient community resources. As a market leader in value-based care, EmblemHealth partners with top providers and hospitals to deliver quality, affordable care.

Guided by a core purpose of making people healthier, Vitality is the leader in improving health to unlock outcomes that matter. By blending industry-leading smart tech, data, AI, incentives, and behavioral science, Vitality inspires healthy changes in individuals and organizations. As one of the largest health and well-being companies in the world, Vitality brings a dynamic and diverse perspective through successful partnerships with the most forward-thinking insurers and employers.

More than 35 million people in 41 markets globally engage in the Vitality program.

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 across 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.  

Odessa Regional Medical Center has 225 beds and approximately 250 physicians on staff, with over 700 employees. ORMC offers advanced diagnostic imaging technology, emergency care, innovative surgical procedures, maternity care, comprehensive cardiac services, and general medical care. Scenic Mountain Medical Center is a full-service, acute care, 146-bed community hospital. Specialized services include cardiology, orthopedics, maternity, diagnostic imaging, emergency care with a 24/7 Level IV Trauma Center, wound care, and women’s health and breast care services.

Cain Brothers targeted buyers interested in owning and operating hospitals in West Texas. The successful acquisition by Quorum Health preserves community jobs and continues providing of care to current and future patients of ORMC and SMMC.

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.

Quorum Health is a leading operator of general acute care hospitals and outpatient services in the U.S., operating a diversified portfolio of 12 affiliated hospitals in rural and mid-sized markets across nine states with an aggregate of 924 licensed beds. Through its network of hospitals, physician practices and health care providers, the company is focused on addressing the critical health care needs of patients in their local communities.

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 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.  

Wadley Regional Medical Center is a 370-Bed Hospital in Texarkana, Texas. As the longest-serving hospital in Texarkana, WRMC has a century-long tradition of providing compassionate, high-quality health care.

Cain Brothers targeted buyers interested in owning and operating a hospital in East Texas. The successful acquisition of WRMC by CHRISTUS Health preserves community jobs and continues providing care to current and future patients of Texarkana.

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.

CHRISTUS Health is a Catholic, not-for-profit system made up of more than 600 centers, including community hospitals, urgent care centers, health insurance companies, and physician clinics. Christus is a community of 45,000 associates, with over 15,000 physicians providing individualized care — and all focused on its charitable mission.

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.  

Florence Hospital is a 36-bed hospital offering emergency care, as well as surgical, imaging, and laboratory services for residents of Pinal County. Mountain Vista Medical Center in Mesa, Arizona, is a 178-bed hospital providing high-quality, compassionate care for patients and their families. Tempe St. Luke's Hospital is a 74-bed, full-service hospital featuring an emergency department, a critical care unit, and specialty programs, including wound care and pain management.

Cain Brothers targeted buyers interested in owning and operating hospitals in the greater Phoenix area. The successful acquisition by HonorHealth preserves community jobs and continues providing care to current and future patients of Florence, MVMC, and Tempe.

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.

HonorHealth is a nonprofit health care system that serves the greater Phoenix area. HonorHealth traces its roots to 1927 but was formed in 2013, when Scottsdale Healthcare became affiliated with John C. Lincoln Health to form HonorHealth. Today, HonorHealth employs approximately 14,000 people, partners with 3,500 providers, and has a delivery system of six acute care hospitals and additional primary, specialty and urgent care locations, ambulatory care centers, an accountable care organization, captive insurance company, food bank, and charitable foundation.

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.  

Good Samaritan Medical Center is an award-winning, 224-bed, acute-care community hospital, built on the foundation of providing comprehensive care that extends beyond its four walls to address the most critical health and wellness needs of its Brockton, Massachusetts, community members and beyond.

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.

Boston Medical Center is a 511-bed, equity-led academic medical center that delivers a model of healthcare in which innovative and equitable care empowers all patients to thrive. A premier academic medical center in Boston, a national leader in clinical care, and the largest essential hospital in New England, BMC’s world-class clinicians provide comprehensive care in more than 70 specialties and subspecialties.

Cain Brothers targeted buyers interested in owning and operating a hospital in the southern Massachusetts area. The successful acquisition by Boston Medical Center preserves community jobs and continues providing care to current and future patients of Good Samaritan.

Cain Brothers, a division of KeyBanc Capital Markets, 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 contacted more than 220 interested parties in Massachusetts, Ohio, Pennsylvania, Texas, Arkansas, Louisiana, and Arizona. Over 100 nondisclosure agreements were executed and despite significant operating losses and other challenges, Cain Brothers successfully completed eight separate transactions covering 15 of the 17 hospitals. One additional transaction is expected to close in early 2025.

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.

KeyBanc Capital Markets (KBCM) and Cain Brothers, a division of KBCM, successfully closed the syndication of $855 million in Senior Secured Credit Facilities in support of Viant Medical Holdings, a portfolio company of JLL Partners and Water Street Healthcare Partners. 

The Credit Facilities consist of a $100 million Revolving Credit Facility, a $680 million First Lien Term Loan, and a $75 million First Lien Delayed Draw Term Loan. Proceeds will be used to refinance existing indebtedness and to pay transaction-related fees and expenses. 

Viant is a contract manufacturing organization specializing in medical device components. The company offers a broad range of capabilities that supports global medical device original equipment manufacturers’ production of devices for diagnostic, orthopedic, surgical, and other applications.

JLL Partners is a New York–based middle market private equity firm specializing in healthcare, industrials, and business services. Since being founded in 1988, JLL Partners has raised $5.8 billion across eight funds, working to accelerate growth and elevate its portfolio companies through organic growth initiatives, operational enhancements, and strategic M&A.

Founded in 2005, Water Street Healthcare Partners is a private equity firm focused exclusively on the healthcare industry. The Sponsor has ~$7.5 billion in AUM and is investing out of its fifth fund. Water Street is currently an investor in 21 healthcare companies across numerous healthcare subsectors.

Cain Brothers, a division of KeyBanc Capital Markets, served as the exclusive financial advisor to ProductLife Group on its acquisition of Halloran Consulting Group. 

Cain Brothers was engaged to serve as PLG’s exclusive financial advisor based on its deep experience across the regulatory and compliance consulting space and the broader pharma services continuum. Halloran represents PLG’s second acquisition in North America, a primary focus for the company, as it expands beyond Europe.

ProductLife Group’s mission is to support patient access to safe and effective healthcare solutions by delivering worldwide consulting and outsourcing services through the entire product life. Combining local expertise with global reach spanning more than 150 countries, PLG is the Life Sciences Industry reference strategic partner for the development, market introduction, and life cycle management of product portfolios, and the related business and digital transformation. With a goal of continuously improving the value delivered to teams and clients, PLG is committed to long-term partnership, innovation, flexibility, and cost efficiency.

Founded in 1998 by Laurie Halloran, Halloran is known as one of the largest specialty regulatory agencies of its kind, which allows for a differentiated proposition with an end-to-end solution that is strategic and tactical, all while retaining flexibility that meets every client’s needs. The team of 100 consultants supports sponsors from their first regulatory filing through commercialization.

KeyBanc Capital Markets and Cain Brothers successfully closed the syndication of $635 million in Senior Secured Credit Facilities in support of US Fertility Enterprises, a portfolio company of Amulet Capital Partners.

The Credit Facilities consist of a $60 million Revolving Credit Facility, a $550 million Term Loan, and a $25 million Delayed Draw Term Loan. Proceeds from the Credit Facilities will be used to refinance existing indebtedness and to pay transaction-related fees and expenses. This transaction represents US Fertility’s inaugural broadly syndicated facility.

KeyBanc Capital Markets and Cain Brothers were selected to serve as Left Lead Arranger and Administrative Agent due to our best-in-class leveraged finance platform, expertise in the women’s health space, and long-standing relationship with Amulet Capital Partners. 

US Fertility is the leading fertility group in the United States 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 105 treatment locations and 30+ embryology labs.

Amulet is a middle market private equity investment firm based in Greenwich, Connecticut, and Walnut Creek, California, focused exclusively on the healthcare sector. Amulet seeks to achieve long-term capital appreciation through privately negotiated investments in healthcare companies. Amulet focuses on those segments it believes have the most attractive long-term fundamentals with a target investment size between $25 million and $200 million.

Cain Brothers, a division of KeyBanc Capital Markets, served as exclusive sell-side advisor to Health Monitor Network and its majority shareholder, WestView Capital Partners, in its sale to Gridiron Capital.

Cain Brothers was engaged based on its deep experience across pharmaceutical services and long-standing relationships with relevant investors. Gridiron will support the Company in accelerating growth in both current and untapped channels across existing and new products. Gridiron is investing alongside management, with reinvestment from WestView. 

Founded in 1983, Health Monitor is one of the leading direct-to-patient marketing companies in the U.S. With the largest proprietary physician office network, Health Monitor provides high-quality patient education through digital, print, and mobile platforms to tens of millions of condition sufferers through 200,000+ medical offices and more than 400,000 healthcare professionals.

Founded in 2004, WestView is focused on growth-oriented companies with a successful track record of partnering with exceptional entrepreneurs in control-agnostic transactions. WestView has deep experience in several key sectors, including business services, IT services, software, healthcare IT & outsourcing, growth industrial, and consumer. WestView currently manages $2.7 billion in capital and has invested in more than 50 companies.

Founded in 2005, Gridiron is an investment firm focused on partnering with founders, entrepreneurs, and management teams to create value by building industry leaders in the consumer products & services, industrial growth, and business services segments. Gridiron helps transform growing companies by winning together through hard work, partnerships grounded in shared values, and a unique culture that comes from hands-on experience building and running businesses.

Cain Brothers, a division of KeyBanc Capital Markets, served as exclusive financial advisor to Lakeview Health in its sale to Bradford Health Services, a portfolio company of Lee Equity Partners.

Cain Brothers was engaged to serve as Lakeview’s exclusive financial advisor based on its deep sector knowledge in substance use disorder treatment and the broader behavioral health sector. The transaction expands Bradford’s network of treatment centers to Florida and furthers its commitment to providing individuals with substance use disorders access to affordable, high-quality care.

Founded in 2001, Lakeview is a nationally recognized provider of addiction treatment and behavioral health services, offering a range of specialized programs across its campuses. With programs such as The Rose and The Star, which provide gender-specific treatment, Koru Spring, which provides care for patients with eating disorders, and Stepping Stone Center for Recovery, Lakeview is dedicated to delivering patient-centered care that addresses the unique needs of each individual. The organization is committed to helping patients achieve long-term recovery through evidence-based practices and a comprehensive continuum of care.

Founded in 1977 and based in Birmingham, Alabama, Bradford is a leading provider of substance use treatment and recovery services with a nationwide reach. Operating through a coordinated network of 40 facilities, Bradford offers affordable, evidence-based treatment throughout the entire spectrum of care, including early intervention, crisis response, intensive outpatient programs, partial hospitalization, residential care, inpatient detox, and transitional living and life skills programs.

Lee Equity Partners is a middle market private equity firm that partners with businesses in the financial and healthcare services sectors. Over nearly two decades, the firm has used its thematic-based investment strategy and deep sector knowledge to identify and partner with businesses in the financial and healthcare services sectors. Over nearly two decades, the firm has utilized its thematic-based investment strategy and deep sector knowledge to identify and partner with talented management teams to accelerate growth and build market-leading businesses. Additional information is available at www.leeequity.com.

Cain Brothers, a division of KeyBanc Capital Markets, KeyBanc Capital Markets Inc. and KeyBank Beach Point Direct Lending Program successfully closed Senior Secured Credit Facilities to support Amulet Capital Partners’ acquisition of Genetics & IVF Institute, Inc. Proceeds will be used to fund the acquisition, facilitate the execution of future M&A opportunities and pay transaction-related fees & expenses.

KeyBanc Capital Markets and Cain Brothers served as Left Lead Arranger and Administrative Agent on the financing.

Headquartered in Fairfax, Virginia, and founded in 1984, GIVF was one of the original U.S.-based centers to integrate high-technology infertility and genetic services and one of the first outpatient IVF centers in the country. Since then, the company has grown into an international family of companies providing comprehensive reproductive technology services and products to patients and physicians worldwide.

Cain Brothers, a division of KeyBanc Capital Markets (KBCM), served as exclusive Buy-Side Advisor to Amulet Capital Partners on its acquisition of Genetics & IVF Institute (GIVF), Inc. KBCM arranged financing for the acquisition, led by the KeyBank Beach Point Direct Lending Program.

On September 6, 2024, Amulet announced it had acquired GIVF, a leading provider of reproductive tissue banking and related reproductive technology services. The transaction includes significant co-investment from a consortium of Amulet Limited Partners. Financial terms of the transaction were not disclosed. 

Amulet is a middle market private equity investment firm based in Greenwich, Connecticut, and Walnut Creek, California, focused exclusively on the healthcare sector. Amulet seeks to achieve long-term capital appreciation through privately negotiated investments in healthcare companies. Amulet focuses on segments it believes have the most attractive long-term fundamentals, with a target investment size between $50 million and $150 million.

Founded in 1984, GIVF has grown into one of the world’s largest providers of frozen donor sperm and frozen donor eggs and a leading provider of cryostorage for embryos, sperm, and eggs in the United States. The Company currently operates leading multinational brands including Fairfax Cryobank and Fairfax Eggbank. GIVF will continue to be led by Co-CEOs Nadeem Malik and Sean Swindell.

Cain Brothers, a division of KeyBanc Capital Markets, served as exclusive financial advisor to Get Well in its sale to SAIGroup.

Cain Brothers was engaged to serve as Get Well’s exclusive financial advisor based on its long-standing relationship and extensive knowledge of the healthtech and patient engagement spaces. As a SAIGroup company, Get Well will integrate SAIGroup’s award-winning, advanced Eureka AI platform into its patient experience.

Get Well is redefining digital patient engagement by putting patients in control of their health care, inside and outside the hospital. Get Well combines advanced navigation with high-touch care experiences to improve patient activation, loyalty, and outcomes and reduce the cost of care. Get Well serves more than 10 million patients annually at more than 1,000 hospitals and clinical partner sites, using longitudinal data analytics to better serve patients and clinicians. Get Well’s award-winning solutions were recognized again in 2024 by KLAS Research and AVIA Marketplace.

SAIGroup is a private firm investing in businesses with the potential to become leaders in enterprise AI. SAIGroup companies ConcertAI, SymphonyAI, and RhythmX AI deliver AI solutions that transform industries and bring value to companies, workers, healthcare professionals, and patients. The companies collectively represent a workforce of more than 4,000 talented engineers, data scientists, and industry/healthcare experts. SAIGroup is backed by a $1 billion commitment from founder and CEO Dr. Romesh Wadhwani, a noted entrepreneur and philanthropist.

Cain Brothers, a division of KeyBanc Capital Markets, served as exclusive financial advisor to ArchCare, the Continuing Care Community of the Archdiocese of New York in connection with the transfer of ArchCare’s Managed Long-Term Care members and related key assets to VillageCare.

Cain Brothers was engaged to serve as exclusive financial advisor to ArchCare based on its deep expertise and experience in the managed care sector, especially within the not-for-profit space and New York market. The Cain Brothers team executed a targeted and highly competitive process to identify the optimal partner for ArchCare.

ArchCare is the Continuing Care Community of the Archdiocese of New York and one of the nation’s largest and most dynamic Catholic healthcare systems. ArchCare provides quality care to thousands of people of all faiths through its home and community-based and residential care programs, including health plans and nursing home alternatives, adult day care, long term skilled nursing care, short term rehabilitation, home care, assisted living, hospice, an acute care specialty hospital, and services for people with Huntington’s disease, HIV/AIDS, developmental disabilities, and other specialized care needs.

VillageCare is a community-based, not-for-profit organization serving people with chronic care needs, as well as seniors and individuals in need of continuing care and managed care services. VillageCare offers a comprehensive array of community and residential programs, as well as managed care. VillageCare has delivered quality health care services to individuals residing within New York City for over 45 years.

Cain Brothers, a division of KeyBanc Capital Markets, served as exclusive financial advisor to Physicians Health Plan of Northern Indiana. 

The planned acquisition of PHPNI expands Priority Health’s presence into Northern Indiana and Ohio. Financial proceeds of the transaction will advance the mission of the PHP Foundation and enhance its ability to support the health and wellness needs of unserved and in-need populations in Northern Indiana communities. 

The transaction is expected to close by the end of 2024 after required approvals are completed. 

Physicians Health Plan of Northern Indiana, Inc., headquartered in Fort Wayne, Indiana, is a leading commercial health plan offering employer-sponsored benefits to more than 52,000 members across Indiana and the Midwest. PHPNI is a community-based leader in providing cost-efficient and innovative health care solutions by acting with integrity and providing exceptional customer service. 

With over 30 years in business in Michigan, Priority Health offers an extensive portfolio of health benefit options for employer groups and individuals, including Medicare and Medicaid plans. Leveraging its broad network of primary care physicians in Michigan, Priority Health continues to be recognized as a leader in quality, customer service, transparency, and product innovation for more than 1.3 million members. 

On February 26, 2024, THL Partners announced its intent to acquire the outstanding shares of Agiliti Inc. in a take-private transaction at an implied enterprise value of $2.5 billion. Proceeds from the $400 million incremental Term Loan B were used to acquire the remaining shares outstanding of Agiliti not owned by THL. The transaction closed on May 7, 2024. 

Headquartered in Eden Prairie, Minnesota, Agiliti is a leading expert in medical device manufacturing, management, maintenance and mobilization solutions for the U.S. healthcare industry. With 300,000+ medical devices owned and developed, the Company provides healthcare organizations with equipment management and services that support a more efficient, safe and sustainable delivery system. With over eight decades of experience reducing costs and improving efficiencies for more than 10,000 acute care and alternate site providers, Agiliti serves the entire healthcare continuum while maintaining the highest industry standard.

THL is a private equity investor with expertise across three industry verticals: Financial Technology & Services, Healthcare and Technology & Business Solutions. For nearly 50 years, the Sponsor has acquired 170+ companies and invested in 600+ add-on acquisitions representing an aggregate enterprise value of over $250 billion. THL is currently investing from Fund IX, the Sponsor’s ninth flagship fund.