2024 - A returning client, this prominent Western orthopedic group sought to finance an $8MM ASC expansion to its current facility. With new leadership recently in place, Sierra Pacific Orthopedics turned to CMAC Partners for guidance in navigating this project. Utilizing its industry expertise, CMAC led the group to refinance its existing debt, leveraging up to secure cash out to fund construction costs.

After securing multiple competitive financing proposals—each with no personal guarantees—CMAC structured a 7-year loan that aligned with the group’s risk management strategy amid a rising interest rate environment. This structure not only eliminated guarantees but also delivered significant value, saving the group $684,000 compared to benchmark rates. Additional savings were achieved through reduced origination fees.

Sierra Pacific Orthopedics completed the ASC expansion as a joint venture with a national ASC management partner, marking a major milestone in its continued growth.

2014 - The group wanted to make buy-ins affordable for new members while minimizing tax consequences. CMAC developed a model that was self-perpetuating to serve the members into the future, while funding the buyout of retiring members at full price. In the process, CMAC restructured the financing, eliminating personal guarantees and reducing the interest rate by over 1.5%.