One of the largest specialty groups in the Midwest, Tulsa Bone and Joint financed its $16 MM expansion project while simultaneously improving the financing on its existing MOB/ASC. The customized package financed 100% of the construction costs for the expansion and allowed the refinancing of the existing debt to sit interest-only during the first 2 years of its 12-year term. The negotiation of these innovative terms creates additional cash flow relief at a very welcome time. The debt was fixed for 12 years at exceptionally low fixed-rates and personal guarantees were eliminated. Financing was procured through an out-of-market medical lender looking to plant their flag in a new state.