MultiCare and Overlake announce Affiliation Agreement

Overview

Deal Type Mergers & Acquisitions
Client & Transactional Partners MultiCare Health System
Overlake Medical Center & Clinics
Our Role Buy-Side Advisor

Summary

Overlake Medical Center & Clinics and MultiCare Health System announced an affiliation agreement, emphasizing its long-term commitment to delivering the highest quality, most advanced health care to communities across Washington. This transaction is subject to regulatory approval and customary closing conditions, with an anticipated closing date later in 2024.

Cain Brothers was retained by MultiCare as its advisor to assist through the affiliation process and negotiations with Overlake. Cain Brothers brought deep domain expertise in the hospital and health system sector and a strong understanding of the Washington health care market. Through this agreement, Overlake and its network of clinics will comprise the new North Sound region of MultiCare’s statewide network and will be the North Sound region’s flagship health system. The agreement includes continued local governance and management, ongoing community commitment and significant capital investment in the region.

MultiCare Health System is a not-for-profit healthcare organization that’s been caring for communities in Washington state since the founding of Tacoma’s first hospital in 1882. With more than 23,000 team members, including employees, providers, and volunteers, MultiCare has grown into one of the largest community-based, locally governed health systems in the state of Washington. MultiCare serves patients throughout the Pacific Northwest and includes a dozen award-winning hospitals as well as numerous primary care, virtual care, urgent care, pediatric care, and specialty services, including MultiCare Behavioral Health Network; MultiCare Indigo Urgent Care; Mary Bridge Children’s Hospital & Health Network; Pulse Heart Institute; MultiCare Connected Care, an accountable care organization; and MultiCare Rockwood Clinic.

Overlake Medical Center & Clinics is a not-for-profit regional health care system in Bellevue, Washington, serving the community since 1960. The health system includes a 349-bed hospital and a growing network of primary, urgent, and specialty care clinics throughout the region. Overlake is recognized locally and nationally for quality and safety, including recurring Leapfrog A ratings, Healthgrades’ Patient Safety Excellence Award, and recognition as a Best Regional Hospital by U.S. News & World Report in its Best Hospitals 2023–24 rankings. Overlake offers comprehensive advanced services, including a dedicated Cancer Center, Level lll Trauma Center, Childbirth Center, and Level lll NICU, cardiac, neurosciences, orthopedic, and mental health services. Employing more than 3,500 people, Overlake is dedicated to compassionate care for every life it touches.

MultiCare Overlake Affiliation Agreement

KeyBanc Capital Markets is a trade name under which the corporate and investment banking products and services of KeyCorp and its subsidiaries, KeyBanc Capital Markets Inc., member FINRA/SIPC (“KBCMI”), and KeyBank National Association (“KeyBank N.A.”), are marketed. Securities products and services are offered by KeyBanc Capital Markets Inc. and by its licensed securities representatives. Banking products and services are offered by KeyBank N.A.

Recent Deals

January 2025

gluware

acquired by

cuadrilla capital

Exclusive Financial Advisor

gluware-inc
January 2025

air temp

a portfolio company of

anvil capital

acquired by

premistar

a portfolio company of

partners group

Exclusive Sell-Side Advisor

air-temp-holding
December 2024

partnered with

Sell-Side Advisor

theoria-medical
December 2024

servicetitan

$624.8 Million

Initial Public Offering

Joint Bookrunner

servicetitan-inc
December 2024

indiana university

 sold its health plan business to

elevance health

Sell-Side Advisor

iu-health
December 2024

michael Baker

a portfolio company of

dc capital partners

acquired

astrea

$125 Million

Senior Secured Credit Facility

Joint Lead Arranger
Joint Bookrunner

michael-baker
November 2024

Clarkston Family Haven

$31.4 million

Construction Loan and LIHTC Equity

clarkston-family-haven
November 2024

Owens Adair II

$17.5 million

Construction Loan

owens-adair-ii
November 2024

The Ceresa

$66.5 million

Construction Loan, LIHTC Equity, and Permanant Financing

the-ceresa
November 2024

adventhealth

 acquired

shorepoint health system

from

community health systems

Buy-Side Advisor

adventhealth-acquired-sphs-from-chs
November 2024

wellspark

a subsidiary of

emblem

acquired by

vitatly

Sell-Side Advisor

wellspark---acquired-by-vitality
November 2024

copia

$1.23 Billion

Senior Secured Credit Facilities

Coordinating Lead Arranger

copia-power-centennial-flats
November 2024

RPC Power, LLC

a joint venture between

RileyPermian

and

Conduit

a portfolio company of

greyRock

$60 Million

Senior Secured Credit Facility

Coordinating Lead Arranger
Sole Bookrunner
Administrative Agent
Collateral Agent

rpc-power-llc
October 2024

Hill View Heights

$114.2 million

Construction Loan, LIHTC Equity, Permanant Loan, and Bond Underwriting

hill-view-heights
October 2024

Hooper Road

$38.5 million

Construction Loan and LIHTC/SLIHC Equity

hooper-road
October 2024

New Path II

$21.3 million

Construction Loan and LIHTC/SLIHC Equity

new-path-ii
October 2024

Raza Development Fund

$10 million

Debt Facility Investment

raza-development-fund
October 2024

caravel apartments

Caravel Apartments

$93 Million

Construction Loan, LIHTC Equity, Permanant Financing, and Bond Underwriting

caravel-apartments
October 2024

greenbacker

Cider Solar

$870 Million

Senior Secured Credit Facilities

Coordinating Lead Arranger
Administrative Agent
Collateral Agent
Depositary Agent
Co-Documentation Agent

greenbacker-cider-uss
October 2024

skyriver

wilton rancheria

$1.15 Billion

Senior Secured Credit Facilities

Joint Lead Arranger
Joint Bookrunner

wilton-rancheria-gaming
October 2024

viant

a portfolio company of

jll
waterstreet

$855 Million

Senior secured credit facilities

Joint Lead Arranger
Joint Bookrunner

vmc-senior-debt-refi
October 2024

plg

acquired

halloran

Buy-Side Advisor

productlife-group-acquired-halloran-consulting-group
October 2024

us fertility

amulet capital

$635 Million

Left Lead Arranger
Joint Bookrunner
Administrative Agent

us-fertility-completes-senior-debt-refinancing
October 2024

Birch

$1.5 Billion

Senior Secured Credit Facility

Joint Lead Arranger

birch-holdco
October 2024

ascent

$600 Million

Senior Notes

Joint Bookrunner

ascent-resources-utica-holdings
October 2024

healthmonitor

a portfolio company of

westview

acquired by

gridironcapital

Sell-Side Advisor

hmn-acquired-by-gc
October 2024

sm energy company

$3 Billion

Senior Secured Credit Facility

Joint Lead Arranger
Co-Documentation Agent

sm-energy-company
September 2024

redmond landing

Redmond Landing

$67.5 Million

Construction Loan, Permanent Financing, and Bond Underwriting

redmond-landing
September 2024

CDP

CDP Connecticut Loan Fund

$5 Million

Term Debt Facility

cdp-connecticut-loan-fund
September 2024

Mesquite

a portfolio company of

Oaktree

$190 Million

Senior Secured Credit Facilities

Left Lead Arranger
Joint Bookrunner
Administrative Agent

mesquite-gaming
September 2024

jupiter

$59 Million

Senior Secured Credit Facility

Lead Arranger
Sole Bookrunner
Administrative Agent
Collateral Agent

jupiter-powers-callisto
September 2024

bkv corporation

$270 Million

Initial Public Offering

Senior Co-Manager

bkv-corporation

Connect With Us

Find an Expert