As part of CMAC’s routine client follow-up, this returning client realized that its loan, maturing net year, should be refinanced sooner rather than later. Throughout the refinancing, the group experienced a complex change in leadership, including a decoupling with a local hospital that began to slow the process. CMAC worked to get the new executive up to speed on the due diligence items that would lead to a successful closing. This resulted in a positive outcome balancing reasonable returns to the property owners and reasonable expenses to the practice partners. CMAC continued to keep the group on pace despite these challenges. A strategic restructuring of the financing, including blending in their existing swap unwind, and use of CMAC’s market expertise, helped the group keep rents to the desired level securing a lower-than-market fixed rate and a 30-year amortization.