Cain Brothers Investment Bankers to the Healthcare Industry

Our Team



Managing Director, St. Louis

Joe joined Cain Brothers in 2008 and focuses on services for post-acute and senior living organizations. Prior to joining the firm, Joe worked as an investment banker for A.G. Edwards & Sons, Inc. and Wachovia Securities, where he coordinated their senior living finance practice nationally. In addition to his banking and origination experience at A.G. Edwards, Joe sat on their Derivatives Committee and also helped establish that firm's underwriting criterion, bond marketing processes, and surveillance procedures for senior living financings nationally.

During his tenure as an investment banker, Joe has raised more than $2.5 billion in tax-exempt and taxable transactions for clients in 29 states. He has a diverse clientele that includes single-site CCRCs; multi-site CCRC systems; stand alone skilled nursing, assisted living, dementia and senior housing providers; mental health organizations; long-term acute care hospitals; rehabilitation hospitals; sub-acute care facilities; acute care hospitals; specialty hospitals; and human service providers. In conjunction with his transactional experience, Joe has utilized a wide variety of fixed and variable rate transaction structures for senior living providers, including rated, non-rated, insured, credit enhanced (from numerous different LOC banks, bond insurance companies, and FHA), synthetic fixed, synthetic variable, adjustable rate, variable rate demand bonds, auction rate bonds, zero coupon bonds and numerous transactions with multiple bond types.

Joe grew up in Saint Louis and received a BS and an MBA from Saint Louis University. He has served on a number of nonprofit boards in his career and currently serves on the Board of Directors of the Jewish Center for the Aged in Saint Louis. He has been a guest speaker at many national conferences (AAHSA, HFMA, ALFA, ACHCA, ASHA, MHEANA), AAHSA state chapters (MO, KS, MI, OH, LA, TX), and at forums sponsored by various industry participants nationally (Association of OH CPA’s, Plante & Moran, BKD, Harris Bank, U.S. Bank, First Bank, CRSA and Life Care Services).