2014 – Augusta Orthopedics aimed to refinance its existing owner-occupied property and to finance a new ASC. The closing resulted in lowered interest rates and savings for the group.

2018 – The group returned to CMAC to refinance its MOB and now-constructed ASC and leverage up in order to facilitate partner buy-ins.

2020 – In the height of the COVID-19 pandemic, we reached out to Augusta Orthopedics after identifying refinance opportunities due to significant rate movement. With the current environment, we recognized a rate improvement of more than 1% and a substantial reduction in interest expense. CMAC approached the group’s bank to negotiate a rate modification, securing them a lower rate and nearly $500K of interest savings. CMAC also coordinated with the bank to close on a land loan for the group, all with no fee to the group.

2021 – Augusta Orthopedics was set to merge with Carolina Musculoskeletal Institute, combining four owner-occupied properties between the two groups. The group turned to CMAC for assistance in structuring equal ownership between the physician-owners. The group wished to refinance and leverage up their existing real estate in order to facilitate the merger and ultimately end up with all doctors having equal and identical ownership.

2022 – At the time of the previous year’s refinance, the group had an ongoing construction project. CMAC had negotiated with the bank to commit to a fixed rate during the previous year’s closing process, which helped the group tremendously in the rising-rate environment. With construction finished, CMAC ensured that the bank offered the original terms as the group converted to permanent financing.