Excellence in Health Care Investment Banking

2010 marks Cain Brothers' 28th year of providing investment banking services to the health care industry. Cain Brothers is an employee-owned investment banking and financial advisory firm that focuses exclusively on the medical services and medical technology industries and their related businesses. Cain Brothers has one of the largest teams on Wall Street dedicated to the health care industry, with bankers and traders who possess experience in all facets of the industry.

Cain Brothers is all about ideas and direct senior banker involvement with the firm's clients. Our philosophy is to roll up our sleeves and work side by side with our clients to produce innovative, market driven solutions for the many opportunities and challenges they face.

The firm's clients include providers, payors, medical device and equipment companies, health care information technology companies, and financial sponsors. The firm was formed in 1982 based on the belief that health care organizations have unique needs that can be best addressed by professionals with a focus on the health care delivery system as a whole. The firm has grown to become one of the nation's preeminent investment banking and advisory firms to the health care industry.

Cain Brothers research scans the health care industry environment to identify client challenges, trends, and solutions. Through our Strategies in Capital Finance series of white papers, the firm communicates substantive strategic perspectives to senior management teams and board members. The firm also keeps its clients up to date on industry developments, interest rate changes, and equity price trends through its two newsletters, Industry Insights and Senior Health and Housing Weekly News. These publications are available on our website.

Cain Brothers offers an online integrated financial risk management system, CBFiRM, which was designed to measure clients' market risks and embedded capital markets opportunities. This desktop software allows larger tax-exempt health systems to "see, measure and act" on asset-liability configurations in real time and in the context of board-defined risk parameters. Therefore, treasury functions of tax-exempt providers need not go blind because of embedded financial contracts or other priorities of third parties.

Cain Brothers' venture capital affiliates, Health Enterprise Partners and CB Health Ventures, manage private equity funds. They were formed to invest in companies in the later stages of development and ones involved in various subsectors of health care. The fund managers leverage their access to decision makers at more than 300 health care providers and payors to create value for its investors and the owners of its portfolio companies.

Cain Brothers is actively involved in the origination and underwriting of tax-exempt variable rate bonds. Over the last ten years Cain Brothers served as the sole senior manager of more than $6.2 billion of tax-exempt health care transactions and serves as remarketing agent on $1.4 billion of variable rate securities.