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Cain Brothers & Company, LLC
Cain Brothers is a boutique investment banking firm that focuses exclusively on the medical services and medical technology industries and their related businesses.

History
Cain Brothers was founded in 1982 by Jim and Dan Cain based on the belief that health care organizations have unique needs that can be best addressed by professionals with knowledge of the health care delivery system as a whole. As a result, the firm’s clients are composed of nonprofit, publicly traded, and privately held health care service providers, such as hospitals, ambulatory care centers, and physician groups; third-party payors like the [| Blue Cross Blue Shield companies]; [| medical technology companies]; and companies that provide services to the health care industry such as information technology and real estate companies.

Headquartered in New York, Cain Brothers has expanded alongside of the health care industry’s overall rapid growth, and the firm now has personnel in nine U.S. locations.

As an underwriter of tax-exempt debt for health care providers, Cain Brothers consistently ranks in the top three senior health and housing bond underwriters in the U.S. and ranks first in that category in California, according to the Thompson Reuters underwriting league tables.

Cain Brothers is active in mergers and acquisitions as exemplified by its representation in 2008 of BlueCross Blue Shield of Tennessee and The Regence Group as they joined the private equity firm Apax Partners in taking private The TriZetto Group (4).

In recognition of the increasing stresses being placed on the health care system by the recent economic downturn and financial market meltdown, the firm has expanded its financial restructuring group, which advises distressed companies and creditors creditors in bankruptcy bankruptcy/Chapter 11 situations and in out-of-court alternatives.

Notes and references

 * 1) (December 12, 2005). “A Double Coup For Cain Brothers.(Cain Brothers and Company Inc.)” (hosted by Access My Library), Investment Dealers' Digest
 * 2) Gordon, Jennifer (January 13, 2006). “Lancaster hospital is looking for a developer”  Dallas Business Journal
 * 3) (April 16, 2008).  “Investors choosing medical real estate as safe haven”, Fierce Health Finance
 * 4) (April 11, 2008) “TriZetto Agrees to be Acquired by Apax Partners for $22 Per Share”, www.trizetto.com