Quorum Health

On January 17, 2025, KeyBanc Capital Markets (KBCM) successfully advised Astro Shapes, LLC (Astro Shapes or the Company), a portfolio company of Monomoy Capital Partners (Monomoy), on its sale to Wynnchurch Capital L.P. (Wynnchurch). KBCM was chosen to serve as Astro Shapes’ Sell-Side Advisor based on its industry-leading Metals and Building Products practices and proven M&A execution capabilities.

Headquartered in Struthers, Ohio, Astro Shapes is a leading manufacturer of custom aluminum extrusion products for customers across multiple attractive end markets including Residential and Commercial Building Products, RV/Non-Auto Transportation, and other consumer products. The Company operates three facilities with six state-of-the art extrusion presses, two paint lines, fabrication capabilities, and other value-added finishing services. Astro Shapes is a one-stop shop providing high-quality, customized products to address the unique needs of leading original equipment manufacturers (OEMs) and customers across multiple end markets.

Monomoy is a New York-based private investment firm with more than $5 billion in assets under management across a family of investment funds. Monomoy invests in middle-market businesses that can benefit from operational and financial improvement with a focus on manufacturing, distribution, and business services companies across industrial and consumer product sectors in North America.

Headquartered in Chicago, Wynnchurch is a leading middle market private equity investment firm with more than $9 billion in assets under management. The firm focuses on middle market companies in the United States and Canada that possess the potential for substantial growth and profit improvement.

On January 17, 2025, KeyBanc Capital Markets (KBCM) successfully advised JELD-WEN Holding, Inc. (JELD-WEN or the Company), on the court-ordered divestiture of its Towanda, Pennsylvania, facility and related assets to Woodgrain Millwork, Inc. (Woodgrain). KBCM was hired by the Honorable Lawrence F. Stengel, in his capacity as the Special Master, pursuant to the Order of United States District Judge Robert E. Payne. KBCM was chosen to serve as Exclusive Sell-Side Advisor based on its industry-leading Building Products practice, proven M&A execution capabilities, and relevant carveout transaction experience.

Headquartered in Charlotte, North Carolina, JELD-WEN is a leading manufacturer of interior and exterior doors, wood, vinyl and aluminum windows, wall systems, shower enclosures, closet systems, and other interior and exterior components used in the construction, repair, and remodel of residential homes and nonresidential buildings. The Company’s Towanda, Pennsylvania, facility produces a wide range of interior door-skin products as well as its MiraTEC- and Extira-branded exterior trim products.

Headquartered in Fruitland, Idaho, Woodgrain is a family-owned, vertically integrated manufacturer and distributor of doors, windows, moulding, trim, engineered and composite lumber, and other related building products for use in new construction as well as repair and remodeling projects. The company’s network of 45 manufacturing facilities and warehouses spread across North and South America supply thousands of dealers in the United States.

On January 21, 2025, Torch Clean Energy (Torch or the Company), a premier U.S.-based utility-scale solar and storage developer, announced a strategic investment from Morgan Stanley Infrastructure Partners (MSIP). This partnership with MSIP marks a pivotal transformation for Torch, enabling it to transition from a development platform to an integrated clean power platform with capabilities across development, construction, and asset management. MSIP’s investment in Torch provides committed capital to expand and transition the Torch platform. KeyBanc Capital Markets (KBCM) served on the transaction as Exclusive Financial Advisor to Torch Clean Energy.

KBCM ran a dual-track process for Torch — a broadly marketed sale of the Company’s development-complete solar and storage portfolio in parallel with a platform equity capital raise marketed to select investors. This approach allowed Torch to consider a transformational platform partnership alongside a non-dilutive asset sale. KBCM highlighted Torch’s differentiated strategy and above-market profitability, which resulted in the Company’s equity partnership with MSIP. 

About Torch Clean Energy
Torch Clean Energy is a clean energy and battery storage developer with extensive experience developing, permitting, designing, and building solar, wind, and battery energy storage projects. Torch has originated, developed, and sold 1.2+ gigawatts (GW) of renewable power projects. Based in Boulder, Colorado, Torch Clean Energy has operated as an independent, founder-owned developer since 2015. 

About Morgan Stanley Infrastructure Partners
Morgan Stanley Infrastructure Partners (MSIP) is a leading global private infrastructure investment platform with approximately $16 billion in assets under management. Founded in 2006, MSIP has invested in a diverse portfolio of more than 35 investments across transport, digital infrastructure, energy transition, and utilities. MSIP targets assets that provide essential public goods and services with the potential for value creation through active asset management.

On January 8, 2025, KeyBanc Capital Markets served as Joint Bookrunner on a $500 million Senior Notes offering for Kimmeridge Texas Gas, LLC. Proceeds will be used for general corporate purposes.

On January 8, 2025, KeyBanc Capital Markets (KBCM) successfully advised Gluware, Inc. (Gluware), on its acquisition by Cuadrilla Capital, LLC (Cuadrilla Capital). KBCM was engaged as the Exclusive Financial Advisor because of its industry leading infrastructure software sector expertise and strong M&A capabilities.

Gluware powers the world’s most complex enterprise networks with enterprise-grade, intent-based, multi-vendor, intelligent network automation — ready out-of-the-box or as a unifying developer platform. The leading choice of the Global 2000, Gluware’s self-operating and auto-remediating platform handles millions of network changes simultaneously, flawlessly, and in minutes, saving businesses significant time and resources. Gluware is the only turnkey, intelligent network automation software platform for NetOps and NetDevOps that automates enterprise networks in as little as 30 days.

Cuadrilla is a leading enterprise software investment firm founded in 2021 with over $500 million in assets under management. Cuadrilla partners with exceptional SaaS companies with strong product-market fit and significant strategic value to drive accelerated growth and long-term success. The firm is headquartered in Santa Barbara, California.

On January 7, 2025, KeyBanc Capital Markets served as Co-Manager on a $171 million Follow-On Equity Offering for Kimbell Royalty Partners, LP.

On January 2, 2025, KeyBanc Capital Markets (KBCM) successfully advised Air Temp Holding, LLC (Air Temp), a portfolio company of Anvil Capital Partners (Anvil), on its sale to PremiStar, LLC (PremiStar), a portfolio company of Partners Group. KBCM served as Air Temp’s Exclusive Sell-Side Advisor based on its industry-leading Industrial & Business Services practice, longstanding relationship with Anvil, and proven M&A execution capabilities.

Founded in 2001, Air Temp is one of the largest independent commercial HVAC, plumbing, and mechanical service providers in the Northeastern U.S. Air Temp offers service, maintenance, retrofits, controls, and energy efficient solutions to longstanding customers primarily serving the education, municipal, manufacturing, and healthcare end markets.

Anvil is a Boston-based private equity firm that invests in manufacturing and service companies based in the Northeastern U.S. Anvil specializes in acquiring established micro-market companies with identifiable potential for outsized value creation.

Founded in 1930 as Reedy Industries, PremiStar is a leading provider of commercial HVAC, plumbing, and building controls services. PremiStar provides industry-leading solutions from 50 strategically located branches in 14 states, with a network of 1,700+ field technicians who service more than 14,000 customers across the U.S.

Partners Group is a global private equity firm with a North America headquarters in Broomfield, Colorado. The firm has ~$149 billion in assets under management and has invested over $221 billion across private equity, private credit, infrastructure, royalties, and real estate strategies.

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 served as Joint Bookrunner on the $624.8 million Initial Public Offering of 8,800,000 shares, excluding overallotment, of ServiceTitan, Inc. (ServiceTitan or the Company).

ServiceTitan is a cloud-based software platform built to power trades businesses. The Company’s end-to-end solution gives contractors the tools they need to run and grow their businesses, manage their back offices, and provide a stellar customer experience. By bringing an integrated SaaS platform to an industry historically underserved by technology, ServiceTitan is equipping tradespeople with the technology they need to keep the world running.

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.

On December 6, 2024, KeyBanc Capital Markets (KBCM) successfully closed the syndication of a $125 million Senior Secured Credit Facility for Michael Baker International, LLC (“Michael Baker” or the “Company”), a portfolio company of DC Capital Partners (DC Capital). The $125 million Incremental First Lien Term Loan is interchangeable with the existing portion, and proceeds were used to support the acquisition of AstreaX, Inc. and fund cash to the balance sheet. KBCM served as Joint Lead Arranger and Joint Bookrunner on the transaction.

Headquartered in Pittsburgh, Pennsylvania, Michael Baker is a leading provider of engineering and consulting services and has been solving some of the world’s most complex infrastructure challenges for more than 80 years, with a legacy of expertise, experience, innovation, and integrity. The Company’s services include design, planning, architectural, environmental, and program management. Michael Baker’s clients include U.S. federal, state, and municipal governments, as well as large corporations.

Founded in 2019 and headquartered in Phoenix, Arizona, AstreaX is a leading provider of software development and implementation services for government modernization technologies, with expertise in SaaS, digital identity, enterprise systems, and consumer portal solutions for state departments of motor vehicles.

Founded in 2007, DC Capital Partners is a middle market private equity firm with offices in Alexandria, Virginia, and West Palm Beach, Florida. DC Capital makes control equity investments in middle market companies that provide differentiated and innovative services and solutions in the Government and Engineering markets.

On December 4, 2024, KeyBanc Capital Markets served as Joint Bookrunner on a $400 million Senior Notes offering for Crescent Energy Company. Proceeds will be used to fund the acquisition of Eagle Ford assets from Ridgemar Energy Operating, LLC.

On December 3, 2024, KeyBanc Capital Markets served as Co-Manager on a $346 million Follow-On Equity Offering for Crescent Energy Company. Proceeds will be used to fund the acquisition of Eagle Ford assets from Ridgemar Energy Operating, LLC.

On December 3, 2024, KeyBanc Capital Markets served as Joint Bookrunner on Coterra Energy Inc.’s offering of $750 million in Senior Notes due in 2035 and $750 million in Senior Notes due in 2055. Proceeds will be used to fund the acquisition of Delaware Basin assets from Franklin Mountain Energy, LLC, and Avant Natural Resources, LLC, and for general corporate purposes.

KeyBank Community Development Lending & Investment provided $31.4 million in capital for the new construction of Clarkston Family Haven, a 72-unit affordable housing project in Clarkston, Washington. Seventy units will serve families and individuals earning no more than 30% – 60% of area median income (AMI), with 35 units set aside for those who have or are experiencing homelessness.

Supportive services for residents will include integrated case management to assist in stabilizing housing, income, behavioral health, and addressing addiction issues as well as onsite peer support and mental health counselors. We want to thank Horizon Housing Development and Catholic Housing Services of Eastern Washington for their sponsorship and shared mission to build much-needed affordable housing in Washington. 

The financing includes a $12.1 million construction loan and $19.3 million in Low-Income Housing Tax Credit (LIHTC) equity.

KeyBank Community Development Lending & Investment provided $17.5 million in capital for the new construction of Owens Adair II, a 50-unit senior affordable housing project in Astoria, Oregon. Thirty-seven units will serve senior citizens earning no more than 40% – 50% of the area median income (AMI) and 13 units will be permanent supportive housing for seniors who have or are experiencing homelessness.

Supportive services will be offered to residents and will include assistance accessing basic needs such as food, clothing, personal care, health services, and employment programs. Additional services will be provided for those experiencing homelessness and will include access to furniture, bedding, cleaning, and kitchen items, peer support for mental health and addiction services, assistance with applications for housing vouchers and mainstream benefits, and navigation and advocacy with healthcare providers. We want to thank the Northwest Oregon Housing Authority and Community Development Partners for their sponsorship and shared mission to build much-needed affordable housing in Oregon. 

The financing includes a $17.5 million construction loan.

KeyBank Community Development Lending & Investment provided $66.5 million in capital to acquire and rehabilitate The Cesera, a 204-unit senior affordable housing project in Garland, Texas. The community is owned and managed by Dominium, a leading national developer, owner, and manager of affordable housing. All 204 units will serve senior citizens earning no more than 40% – 60% of the area median income (AMI).

Supportive services will be offered to residents and will include adult education programs, health screenings and immunizations, counseling programs, computer education, and recreational activities. We want to thank Dominium and Garland Housing Finance Corporation for their sponsorship and shared mission to preserve much-needed affordable housing in Texas.

The financing includes a $20.1 million construction loan, $23.1 million in LIHTC equity, and a $23.3 million Fannie M.TEB permanent loan.

On November 26, 2024, KeyBanc Capital Markets (KBCM) successfully closed $179.1 million in Senior Secured Credit Facilities (the Facilities) for rPlus Energies for the Pleasant Valley Solar 2 project (PVS2 or the Project). This Project is in Ada County, Idaho, adjacent to the Pleasant Valley Solar 1 project, which was developed by rPlus Energies and constructed in 2023. The PVS2 Facility comprises $97.4 million in Construction Loans, $63.4 million in ITC Bridge Loans, and $18.3 million in PPA LCs. Proceeds will be used to fund the construction and operating periods of the Project. KBCM acted as Coordinating Lead Arranger, Joint Bookrunner, Collateral Agent, and Depositary Agent.

The Pleasant Valley Solar 2 is a 125 MW_AC/163 MW_DC utility-scale solar project. It is scheduled to achieve commercial operation in the second quarter of 2026 and will generate revenue under a 20-year busbar-settled power purchase agreement with Idaho Power.

This financing marks the second transaction between rPlus Energies and KBCM. In July 2024, KBCM successfully closed senior secured credit facilities for Green River Energy Center.

About rPlus Energies
Founded in 2018, rPlus Energies is an experienced solar, storage, and wind developer based in Salt Lake City, Utah, with a development pipeline of more than 15 gigawatts (GW). Since its establishment, rPlus Energies has successfully developed more than 1.4 GW of solar and wind projects across Utah and Idaho, all of which are either operational or under construction. rPlus Energies is backed by Sandbrook Capital, a private investment firm with more than $2.1 billion in equity commitments focused on investing in leading renewable energy and sustainable infrastructure platforms throughout North America and Europe, and the Gardner Group, a leading Salt Lake City-based full-service real estate developer with an expansive real estate portfolio consisting of 10+ million square feet of commercial and medical building space and 2,500 residential lots.

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.

On November 13, 2024, KeyBanc Capital Markets served as Co-Documentation Agent on a $1.5 billion Senior Secured Revolving Credit Facility for Magnolia Oil & Gas Operating, LLC. Proceeds will be used for general corporate purposes.

On November 12, 2024, KeyBanc Capital Markets served as Joint Bookrunner on a $400 million Senior Notes offering for Magnolia Oil & Gas Operating, LLC. Proceeds were for general corporate purposes.

On November 1, 2024, KeyBanc Capital Markets Inc. (KBCM) successfully closed on $1.23 billion in Senior Secured Credit Facilities to support Copia Power’s Centennial Flats utility-scale solar plus energy storage project. The financing includes a $898 million construction-to-term loan, a $257 million tax-credit bridge loan, and $74 million in letters of credit. Proceeds will be used to fund the project’s construction costs. KBCM acted as Coordinating Lead Arranger.

Centennial Flats is a 675 megawatt direct current (MW_DC)  solar + 1,068 megawatt hour (MWh) energy storage project in La Paz County, Arizona, and will interconnect to the California ISO-market. Developed with tier-1 equipment, Centennial Flats will be constructed in three phases beginning in Q4 2024, with commercial operations expected in Q3 2026. The project is expected to create more than 400 jobs during construction.     

This represents the third transaction between Copia Power and KBCM.

About Copia Power
Copia Power is a renewable energy infrastructure platform launched by The Carlyle Group (NASDAQ: CG) in March 2021. Created with the acquisition of Tenaska’s 6 gigawatt (GW) solar and energy storage pipeline, Copia Power's goal is to become a leading, integrated energy transition platform specializing in developing, owning, and operating giga-scale projects in select U.S. markets. The company is led by industry veterans with extensive shared experience in developing, commercializing, constructing, and operating more than 10 GW of renewable energy projects. Since its launch, Copia Power has built a robust 18+ GW development pipeline across the U.S. with an additional 1.5 GW of projects beginning construction in the past 12 months.

On November 6, 2024, KeyBanc Capital Markets (KBCM) successfully closed on a Senior Secured Credit Facility of up to $60 million, comprised solely of a construction-to-term loan facility. The proceeds will be used to fund projects associated with RPC Power, LLC, a joint venture between Riley Exploration Permian, Inc. and Conduit Power, LLC. RPC Power was formed in 2023 to construct, own and operate power generation assets. KBCM served as Coordinating Lead Arranger, Sole Bookrunner, Administrative Agent and Collateral Agent on the transaction.

RPC Power's initial scope was to use Riley Permian’s produced natural gas for a 20MW portfolio of generation assets which provide power for a portion of Riley’s operations in Yoakum County, Texas. RPC Power expanded its scope in 2024 to allow for the generation and sale of dispatchable power and related services to ERCOT, with plans for an additional 100MW of generation and battery energy storage systems across multiple facilities in West Texas.

Conduit Power, LLC provides customized full-service solutions to help commercial and industrial customers lower power procurement costs and improve the uptime and reliability of delivered power. Conduit's offering includes turnkey design, procurement, and construction of electrical infrastructure, ongoing operations and maintenance of equipment, power procurement and brokerage, and asset financing. Conduit's dispatchable power reduces its customers’ carbon footprint while enabling further integration of additional renewable generation into their systems. Conduit is actively developing multiple 100-200+ MW combined thermal generation and battery storage portfolios as well as behind-the-meter solutions.

Riley Permian (NYSE:REPX) is a growth-oriented energy company with operations in Texas and New Mexico. Riley focuses on applying modern horizontal drilling and completions techniques to oil-saturated and liquids-rich formations. Additionally, Riley invests in infrastructure projects such as electric power that it believes can optimize its operations and diversify its revenue mix.

Founded in 2013, Grey Rock is a private equity firm based in Dallas, Texas. Grey Rock invests across the energy value chain with private equity funds focusing on investments in natural resources, carbon capture, industrial electrification, and power optimization. Conduit represents one of Grey Rock’s first investments in its Net Zero Opportunities Fund.

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 hospiinals 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.

KeyBank Community Development Lending & Investment provided $114.2 million in capital for the new construction of Hill View Heights, a 260-unit affordable housing project in San Antonio, Texas. All 260 units will serve families and individuals earning no more than 30% – 70% of the area median income (AMI).

Supportive services for residents will include an onsite food pantry stocked with non-perishable food and common household items, twice monthly recreational activities and onsite social events, and an annual health fair featuring local health care professionals. We want to thank Kittle Property Group for its sponsorship and shared mission to build much-needed affordable housing in Texas.

The financing includes a $54.5 million construction loan, $28.2 million in LIHTC equity, a $31.5 million permanent loan, and bond underwriting provided by Keybanc Capital Markets.

KeyBank Community Development Lending & Investment provided $38.5 million in capital for the new construction of Hooper Road Apartments, an 80-unit senior affordable housing project in Endicott, New York. All 80 units will serve senior citizens earning no more than 30% – 60% of the area median income (AMI).

Supportive services will be offered to residents and will include case management, recreation and socialization, independent living skills, wellness and nutrition, and financial assistance. We want to thank CDS Monarch, Inc. for its sponsorship and shared mission to build much-needed affordable housing in New York and thank CSD Housing for its partnership.

The financing includes a $22.6 million construction loan and $12 million in Low-Income Housing Tax Credit (LIHTC) equity and $3.9 million in State Low-Income Housing Tax Credit (SLIHC) equity.

KeyBank Community Development Lending & Investment, in partnership with Banner Bank, provided $21.3 million in construction loans for New Path II, a 96-unit permanent supportive housing project in Boise, Idaho. This 9% and 4% twinning Low-Income Housing Tax Credit (LIHTC) project will have 95 units, which will serve families and individuals who have or are experiencing homelessness and earning no more than 30% – 60% of the area median income (AMI).

Supportive services for residents will include case management, mental health/medical services, independent living skills, education, employment service, substance abuse and addiction services, and transportation. All units will be supported by project-based Section 8 assistance. We want to thank The Pacific Companies, The Richman Group, Banner Bank and the City of Boise for their commitment to the shared mission to build much-needed affordable housing in Idaho.  

The financing includes a $13.3 million 4% LIHTC construction loan and an $8 million 9% LIHTC construction loan.