This orthopedic group had previously worked with CMAC to close on a $28MM cash-out refinance in order to facilitate the expansion of its existing medical office building into a surgery center. The group engaged CMAC again to help secure a second mortgage for this expansion and assist with personal loans for the doctors in order to facilitate their buy-ins. CMAC worked through challenges with shifting budgets, appraisals, and the doctors’ personal loans, but ultimately created a streamlined process to secure competitive rates and terms and move the project forward.