This well-respected northern orthopedic group aimed to refinance its debt for two properties in order to leverage up and provide cash to buyout its developer partner. In the process, CMAC helped the group reduce equity to facilitate future partner buy-ins, consolidate its real estate entities, and reapportion the ownership equally among the members. While this complex deal experienced unanticipated challenges with the lender and legal counsel, it ultimately closed with improved terms and a more sustainable structure.