Central Maine Healthcare affiliated with Prime Healthcare Foundation

Overview

Deal Type Mergers & Acquisitions
Client & Transactional Partners Central Maine Healthcare
Prime Healthcare Foundation
Our Role Sell-Side Advisor

Summary

Cain Brothers, a division of KeyBanc Capital Markets, served as exclusive sell-side advisor to Central Maine Healthcare in its affiliation Prime Healthcare Foundation. 

Cain Brothers was engaged to assist in the negotiations and affiliation process due to its domain expertise and understanding of the New England healthcare market. The affiliation will help achieve Central Maine and Prime’s joint long-term commitment to deliver the highest quality, most advanced health care to communities across central, western, and mid-coast Maine. The agreement includes continued local governance and management, ongoing community commitment and significant capital investment in the region.

Central Maine Healthcare is an integrated delivery system serving 400,000 people in central, western and mid-coast Maine. With over 600 physicians and advanced practice professionals in more than 40 locations, CMH includes Central Maine Medical Center, a Levell III Trauma Center in Lewiston, as well as critical access facilities, Bridgton and Rumford hospitals, and two long-term care communities. 

Prime Healthcare is a health system operating 44 hospitals and more than 300 outpatient locations in 14 states, providing over 2.6 million patient visits annually. It is one of the nation’s leading health systems with nearly 45,000 employees and physicians. Fourteen of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation, a 501(c)(3) not-for-profit public charity.

KeyBanc Capital Markets Inc., Member FINRA/SIPC, and KeyBank National Association ("KeyBank N.A.") are separate, but affiliated companies. Securities products and services are offered by KeyBanc Capital Markets Inc. and its licensed securities representatives.

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

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

Recent Deals

February 2026

cmh

affiliated with

prime hc foundation

Sell-Side Advisor

cmh-and-phf
February 2026

olympic steel

merged with

ryerson

Lead Financial Advisor
Fairness Opinion Provider

olympic-steel
February 2026

soboba band of luiseño indians

$219 Million

Senior Secured Credit Facilities

Left Lead Arranger
Joint Bookrunner
Administrative Agent

soboba-band-of-luiseno-indians
February 2026

thermo fisher scientific

$1 Billion

Senior Notes due 2031

$750 Million

Senior Notes due 2033

$1.3 Billion

Senior Notes due 2036

$750 Million

Senior Notes due 2046

Co-Manager

thermo-fisher-scientific
February 2026

my town health partners

acquired

mdb

Buy-Side Advisor

mytown-health-partners
January 2026

SM Energy Company

$5 Billion

Senior Secured Credit Facility

Joint Lead Arranger
Co-Documentation Agent

sm-energy
January 2026

nrad

acquired by

premier

Sell-Side Advisor

national-radiology-solutions-premier-radiology
January 2026

plymouth reit

acquired by

makarora

Sell-Side Advisor

plymouth-industrial-reit
January 2026

equipmentshare

$859.3 Million

Initial Public Offering

Joint Bookrunner

equipmentshare-inc
January 2026

murphy oil corporation

$500 Million

Senior Notes

Co-Manager

murphy-oil-corporation
January 2026

Apex

$1.05 Billion

Senior Secured Credit Facilities

apex-clean-energy-holdings
January 2026

tenor

acquired

commonwealth health

Buy-Side Advisor

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

fhn

affiliated with

mercy health

Sell-Side Advisor

fhn-memorial-hospital-mercyhealth
December 2025

Hub 27

Hub 27

$32.3 Million

Construction Loan, LIHTC Equity, and Bond Underwriting

hub-27
December 2025

Benning Road Metro Apartments

Benning Road Metro Apartments

$55.3 Million

Construction Loan and Permanent Loan

benning-road-metro-apartments
December 2025

Atkinson Stacks & Sunrise Metro

$43.4 Million

Construction Loan and Permanent Loan

atkinson-stacks-&-sunrise-metro
December 2025

US Fertility

acquired

genetics IVF

and was recapitalized by

I Catterton

and

amulet

$1.07 Billion

Senior Secured Credit Facilities

Joint Lead Arranger
Joint Bookrunner
Administrative Agent

us-fertility-completes-debt-refinancing
December 2025

gauge capital

acquired

reliable

Buy-Side Advisor

gauge-capital-reliable-medical
December 2025

Riverplace Apartment Homes

Riverplace Apartment Homes

$29.2 Million

Fannie Mae (Fixed-Rate Loan)

riverplace-apartment-homes
December 2025

greenbacker

has sold a portfolio of operating DG solar and storage assets to

altuspower

Exclusive Financial Advisor

greenbacker-renewable-energy-corporation
December 2025

sevita

a portfolio company of

centerbridge

mdp

vistria

$1.564 Billion

Senior Secured Credit Facilities

$1.275 Billion

Senior Secured Notes

Joint Lead Arranger
Joint Bookrunner

sevita
December 2025

atkinson stacks sunrise metro

Atkinson Stacks Sunrise Metro

$16 Million

Freddie Mac (Fixed-Rate Loan)

atkinson-stacks-sunrise-metro
December 2025

The Cooperative 1581

The Cooperative 1581

$17.98 Million

Freddie Mac (Fixed-Rate Loan)

the-cooperative-1581
December 2025

wedgewood

a portfolio company of

partners group

$350 Million

Senior Secured Credit Facilities

wedgewood-senior-debt-refinancing
December 2025

wec

$300 Million

Debentures December 2025

$500 Million

Debentures September 2025

Active Joint Bookrunner

wisconsin-electric-power-company
December 2025

excel

a portfolio company of

rock island capital

acquired by

fusion

Exclusive Sell-Side Advisor

excel-engineering
December 2025

pacific sands apartments

Pacific Sands Apartments

$24.85 Million

Fannie Mae (Fixed-Rate Loan)

pacific-sands-apartments
December 2025

interact

received a majority investment from

castik

Sell-Side Advisor

interact
December 2025

always compassionate home care

$23.5 Million

Term Loan with Full Hedge, Delayed Draw Term Loan, Revolving Line of Credit, Uncommitted Guidance Line

Sole Lender
Treasury Services

always-compassionate-home-care
December 2025

cenergy

$66.5 Million

Senior Secured Credit Facilities

Coordinating Lead Arranger
Depositary Agent
Collateral Agent
Administrative Agent

cenergy-power-il-grounded
December 2025

kingston

acquired by

american healthcare

along with its operating partner

trilogy

Exclusive Sell-Side Advisor

kingston-healthcare-company
December 2025

atscale

received a significant strategic investment from

snowflake

Exclusive Financial Advisor

atscale

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